Jack Edwin Miller, MD in Petaluma, CA - Medicare Psychiatry & Neurology

Jack Edwin Miller, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Petaluma, California. His current practice location is 765 Baywood Dr, #231, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at (707) 762-2166.

Jack Edwin Miller is licensed to practice in California (license number G26214) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497824627.

Contact Information

	Jack Edwin Miller, MD
	765 Baywood Dr, #231, Petaluma, CA 94954
	(707) 762-2166
	(707) 766-8160

Map and Direction

Physician's Profile

Full Name	Jack Edwin Miller
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	765 Baywood Dr, Petaluma, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497824627
Provider Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2860790458
Enrollment ID: I20160414002137

Medical Identifiers

Medical identifiers for Jack Edwin Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497824627	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	G26214 (California)	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. Jack Edwin Miller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jack Edwin Miller, MD 765 Baywood Dr, #231, Petaluma, CA 94954 Ph: (707) 762-2166	Jack Edwin Miller, MD 765 Baywood Dr, #231, Petaluma, CA 94954 Ph: (707) 762-2166

Reviews and Comments

Psychiatry & Neurology Doctors in Petaluma, CA

Dr. David Arthur Browne, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 111 Liberty Street, Petaluma, CA 94952 Phone: 415-892-1041 Fax: 415-408-3400
Mario Mangiardi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1900 S Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-699-6100
Kenneth R. Wulff, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1503 Spring Hill Rd, Petaluma, CA 94952 Phone: 707-559-3895
Edna S. Rivera, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3900
Paul Richard Mascovich, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 322 Jacquelyn Ln, Petaluma, CA 94952 Phone: 970-778-5810
Sophie Aneson-macleon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1360 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-565-4708
Dr. Jeremy Lr Goodwin, MS, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1456 Professional Dr Ste 402, Petaluma, CA 94954 Phone: 707-938-7951 Fax: 707-938-7260

Jack Edwin Miller, MD - Medicare Psychiatry & Neurology in Petaluma, CA