| Pamela Noel Miller, | |
|
440 Woodward Ave, Iron Mountain, MI 49801-4631 | |
| (906) 776-9040 | |
| Not Available |
| Full Name | Pamela Noel Miller |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 440 Woodward Ave, Iron Mountain, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932675436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-5072 (Hawaii) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801119437 (Michigan) | Primary |
| Entity Name | Bellin Psychiatric Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801150206 PECOS PAC ID: 4486551058 Enrollment ID: O20121222000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Noel Miller, 1 Jarrett White Rd, Tripler Amc, HI 96859-5001 Ph: () - | Pamela Noel Miller, 440 Woodward Ave, Iron Mountain, MI 49801-4631 Ph: (906) 776-9040 |
Janice Lynn Bolander, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 Fax: 906-779-3143 | |
Alyssa Knoll, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 | |
Ms. Nicole Marie Foster Holdwick, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-221-4898 | |
Mr. Thom Joseph Rancour, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-229-6120 | |
Sean David Coopersmith, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 Fax: 906-779-3114 | |
Mr. Mark R Young, MSSW, LMSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 427 S. Stephenson Ave., 2nd Floor, Iron Mountain, MI 49801 Phone: 906-776-4357 | |
Richard Theiler Holmstrom, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 E H St, Iron Mountain, MI 49801 Phone: 906-774-3300 |