Russell W Miller, MS is a
Counselor - Professional based in New Bloomfield, Missouri. Russell W Miller is licensed to practice in Missouri (license number 2001018057) and his current practice location is
2755 State Road Tt, New Bloomfield, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 690-4614.
NPI number for Russell W Miller is 1730167537 and his current mailing address is 2755 State Road Tt, New Bloomfield, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730167537.
Healthcare Provider's Profile
| Full Name | Russell W Miller |
|---|
| Gender | Male |
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| Speciality | Counselor - Professional |
|---|
| Location | 2755 State Road Tt, New Bloomfield, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1730167537
- Provider Enumeration Date: 01/03/2006
- Last Update Date: 12/16/2011
Medical Identifiers
Medical identifiers for Russell W Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730167537 | NPI | - | NPPES |
| 499125102 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 2001018057 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 2001018057 (Missouri) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2001018057 (Missouri) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2001018057 (Missouri) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell W Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Russell W Miller, MS
2755 State Road Tt,
New Bloomfield, MO 65063-1642
Ph: () - | Russell W Miller, MS
2755 State Road Tt,
New Bloomfield, MO 65063-1642
Ph: (573) 690-4614 |
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