Mr Mark Jay Miller, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. His current practice location is
3003 Willamette St, Eugene, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 729-4074.
Mr Mark Jay Miller is licensed to practice in Oregon (license number L002041) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972758753.
Healthcare Provider's Profile
| Full Name | Mr Mark Jay Miller |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3003 Willamette St, Eugene, Oregon |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972758753
- Provider Enumeration Date: 11/20/2008
- Last Update Date: 11/20/2008
Medicare PECOS Information:
- PECOS PAC ID: 5092194613
- Enrollment ID: I20220628000553
Medical Identifiers
Medical identifiers for Mr Mark Jay Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972758753 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | L002041 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | L002041 (Oregon) | Secondary |
| 101YP2500X | Counselor - Professional | L002041 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | L002041 (Oregon) | Primary |
| 106H00000X | Marriage & Family Therapist | L002041 (Oregon) | Secondary |
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. Mr Mark Jay 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 |
Mr Mark Jay Miller, LCSW 396 Dellwood Dr, Eugene, OR 97405-2069 Ph: (541) 729-4074 | Mr Mark Jay Miller, LCSW 3003 Willamette St, Eugene, OR 97405-3241 Ph: (541) 729-4074 |
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