Tim Miles, is a
Psychologist - School based in Grants, New Mexico. Tim Miles is licensed to practice in New Mexico (license number 287256) and his current practice location is
402 N Second Street, Grants, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 285-2614.
NPI number for Tim Miles is 1801921499 and his current mailing address is Po Box 343, Bluewater, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801921499.
Healthcare Provider's Profile
Full Name | Tim Miles |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 402 N Second Street, Grants, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801921499
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Tim Miles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801921499 | NPI | - | NPPES |
32408714 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 287256 (New Mexico) | 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. Tim Miles 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 |
Tim Miles, Po Box 343, Bluewater, NM 87005-0343 Ph: (505) 287-4159 | Tim Miles, 402 N Second Street, Grants, NM 87020 Ph: (505) 285-2614 |
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