| Constance R Koerner Miller, LCSW | |
| 
					408 S Broadview St, Cape Girardeau, MO 63703-5725  | |
| (573) 332-0808 | |
| (573) 339-7945 | 
| Full Name | Constance R Koerner Miller | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 408 S Broadview St, Cape Girardeau, Missouri | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386108181 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2017029577 (Missouri) | Primary | 
| Entity Name | Cross Trails Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1356393268 PECOS PAC ID: 8820902851 Enrollment ID: O20031114000205  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Constance R Koerner Miller, LCSW 408 S Broadview St, Cape Girardeau, MO 63703-5725 Ph: (573) 332-0808  | Constance R Koerner Miller, LCSW 408 S Broadview St, Cape Girardeau, MO 63703-5725 Ph: (573) 332-0808  | 
Maggie Buckley, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 711 S Mount Auburn Rd, Cape Girardeau, MO 63703 Phone: 573-686-4151  | |
Connie Schuessler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-334-8819  | |
Ms. Rebecca Joyce Heisserer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2909 Independence St, Cape Girardeau, MO 63703 Phone: 573-803-1402 Fax: 573-803-1405  | |
Miss Bridget Ann Boley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345  | |
Mrs. Patricia Dianne Hodges, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345  | |
Mr. Daniel Arthur Benard, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345  | |
Bailey J Debus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 402 S Silver Springs Rd, Cape Girardeau, MO 63703 Phone: 573-334-1100 Fax: 573-651-4345  |