Ronald B. Miller, Phd, Pllc | |
123 Ethan Allen Ave Colchester VT 05446-3311 | |
(802) 654-7075 | |
Not Available |
Full Name | Ronald B. Miller, Phd, Pllc |
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Speciality | Clinic/Center |
Location | 123 Ethan Allen Ave, Colchester, Vermont |
Authorized Official Name and Position | Ronald B. Miller (PSYCHOLOGIST/MANAGER) |
Authorized Official Contact | 8026547075 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ronald B. Miller, Phd, Pllc 94 Butternut Ln Shelburne VT 05482-6925 Ph: (802) 654-7075 | Ronald B. Miller, Phd, Pllc 123 Ethan Allen Ave Colchester VT 05446-3311 Ph: (802) 654-7075 |
NPI Number | 1720401250 |
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Provider Enumeration Date | 02/04/2014 |
Last Update Date | 02/04/2014 |
Medicare PECOS PAC ID | 9234362351 |
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Medicare Enrollment ID | O20140425000679 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720401250 | NPI | - | NPPES |
1010121 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 056 (Vermont) | Primary |
Provider Name | Ronald B. Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720173370 PECOS PAC ID: 3870591472 Enrollment ID: I20070611000198 |
Vermont Information Processing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Watertower Cir Ste 201, Colchester, VT 05446 Phone: 802-698-8583 | |
Vermont Gastroenterology Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 875 Roosevelt Hwy, Suite 132, Colchester, VT 05446 Phone: 802-864-7483 Fax: 802-660-4337 | |
Hobie Fuerstman Do Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Roosevelt Hwy Ste 210, Colchester, VT 05446 Phone: 802-879-6544 | |
Ethan Allen Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Vermont Ave, Colchester, VT 05446 Phone: 802-655-1122 Fax: 802-655-1124 | |
Carol J. Gardner, Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 Roosevelt Hwy, Suite 210, Colchester, VT 05446 Phone: 802-879-6544 Fax: 802-879-0022 |