John Clark Miller, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Manzanita, Oregon. He graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
60 Laneda Avenue, Suite 202, Manzanita, Oregon. You can reach out to his office (for appointments etc.) via phone at
(971) 324-0061.
John Clark Miller is licensed to practice in Oregon (license number L5461) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174643738.
Healthcare Provider's Profile
| Full Name | John Clark Miller |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 60 Laneda Avenue, Manzanita, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Clark Miller graduated from medical school in 2007
NPI Data:
- NPI Number: 1174643738
- Provider Enumeration Date: 03/29/2007
- Last Update Date: 04/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749408367
- Enrollment ID: I20140822002648
Medical Identifiers
Medical identifiers for John Clark Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174643738 | NPI | - | NPPES |
| 500671647 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12-03-71 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L5461 (Oregon) | 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. John Clark 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 |
|---|
John Clark Miller, LCSW
Po Box 146,
Rockaway Beach, OR 97136-0146
Ph: (541) 377-1631 | John Clark Miller, LCSW
60 Laneda Avenue, Suite 202,
Manzanita, OR 97130-0000
Ph: (971) 324-0061 |
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