| Mark Miller, LCSW | |
|
1965 Live Oak Blvd, Yuba City, CA 95991-8850 | |
| (530) 822-7200 | |
| Not Available |
| Full Name | Mark Miller |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 12 Years |
| Location | 1965 Live Oak Blvd, Yuba City, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487945556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW78085 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peach Tree Healthcare | 7416978440 | 27 |
| Entity Name | Peach Tree Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003863622 PECOS PAC ID: 7416978440 Enrollment ID: O20101104000566 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Miller, LCSW Po Box 9063, Beale Afb, CA 95903-9063 Ph: () - | Mark Miller, LCSW 1965 Live Oak Blvd, Yuba City, CA 95991-8850 Ph: (530) 822-7200 |
Lori Ann Stone, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1251 E Onstott Rd, Yuba City, CA 95991 Phone: 530-822-7263 Fax: 530-822-7267 | |
Mary P Chin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1650 Sierra Ave, Suite 106, Yuba City, CA 95993 Phone: 530-751-1925 | |
Stephanie Rennard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-822-7200 | |
Chai Thao, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-822-7200 | |
Destiney Kracher, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-822-7209 | |
Paula Virginia Ragland, LCS 7947 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-822-7200 Fax: 530-822-7514 | |
Janet Marquez Amaya, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1965 Live Oak Blvd, Yuba City, CA 95991 Phone: 530-674-1885 |