| Ellen Tracy Miles, PCC | |
|
1925 Hayes Ave, Sandusky, OH 44870-4737 | |
| (419) 557-5177 | |
| (419) 557-5179 |
| Full Name | Ellen Tracy Miles |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1925 Hayes Ave, Sandusky, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043547847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E. 0501220 (Ohio) | Primary |
| Entity Name | Firelands Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801884655 PECOS PAC ID: 6103734645 Enrollment ID: O20040415000236 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Tracy Miles, PCC 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177 | Ellen Tracy Miles, PCC 1925 Hayes Ave, Sandusky, OH 44870-4737 Ph: (419) 557-5177 |
Gavin Lee Winters, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 | |
Dr. Jacqueline S. Hamler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 E Perkins Ave Ste 201, Sandusky, OH 44870 Phone: 419-609-0285 Fax: 419-609-0286 | |
Kimberly Mary Dunphy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Melissa Allton-cameron, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Penny Starr Morgan, PCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1925 Hayes Ave, Sandusky, OH 44870 Phone: 419-557-5177 Fax: 419-557-5179 | |
Ms. Charlene Jeanette Adams, LICDCCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1518 Pearl Street, Sandusky, OH 44870 Phone: 419-515-0663 |