Patti Jane Miller, MA, LP is a
Psychologist based in St Bonifacius, Minnesota. Patti Jane Miller is licensed to practice in Minnesota (license number LP3515) and her current practice location is
4368 Spruce Rd, St Bonifacius, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 812-7857.
NPI number for Patti Jane Miller is 1073734430 and her current mailing address is 4368 Spruce Rd, St Bonifacius, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073734430.
Healthcare Provider's Profile
Full Name | Patti Jane Miller |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4368 Spruce Rd, St Bonifacius, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073734430
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Patti Jane Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073734430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP3515 (Minnesota) | 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. Patti Jane 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 |
Patti Jane Miller, MA, LP 4368 Spruce Rd, St Bonifacius, MN 55375-1312 Ph: (952) 446-1182 | Patti Jane Miller, MA, LP 4368 Spruce Rd, St Bonifacius, MN 55375-1312 Ph: (612) 812-7857 |
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