Stacy Miller, is a
Community Health Worker based in Santa Cruz, California. Stacy Miller is licensed to practice in * (Not Available) (license number ) and her current practice location is
300 Harvey West Blvd, Santa Cruz, California. She can be reached at her office (for appointments etc.) via phone at
(831) 425-8132.
NPI number for Stacy Miller is 1568165843 and her current mailing address is 300 Harvey West Blvd, Santa Cruz, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568165843.
Healthcare Provider's Profile
| Full Name | Stacy Miller |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 300 Harvey West Blvd, Santa Cruz, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1568165843
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Stacy Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568165843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Stacy 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 |
|---|
Stacy Miller,
300 Harvey West Blvd,
Santa Cruz, CA 95060-2103
Ph: (831) 425-8132 | Stacy Miller,
300 Harvey West Blvd,
Santa Cruz, CA 95060-2103
Ph: (831) 425-8132 |
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