| Mrs Jada Miller, | |
|
3005 Riverside Dr, Suite 102, Beloit, WI 53511-1500 | |
| (608) 346-8315 | |
| (608) 313-9452 |
| Full Name | Mrs Jada Miller |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 15 Years |
| Location | 3005 Riverside Dr, Beloit, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437568540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 5144-125 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beloit Health System Inc | 8224947858 | 130 |
| Entity Name | Beloit Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jada Miller, 3005 Riverside Dr, Suite 102, Beloit, WI 53511-1500 Ph: () - | Mrs Jada Miller, 3005 Riverside Dr, Suite 102, Beloit, WI 53511-1500 Ph: (608) 346-8315 |
Mr. Gregory Arthur Ammon, LPC MS NCC Counselor Medicare: Medicare Enrolled Practice Location: 1969 W Hart Road, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756 | |
Rhonda S Doherty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Eclipse Cetner, Beloit, WI 53511 Phone: 608-363-6200 | |
Mr. Haven Macgregor Mcclure, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 E Huebbe Pkwy Ste A, Beloit, WI 53511 Phone: 815-276-4432 Fax: 608-713-9040 | |
Mrs. Sally J Greer, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5686 Fax: 608-363-5756 | |
Sarah Jane Petersen, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 540 E Grand Ave, Beloit, WI 53511 Phone: 608-368-8087 | |
Sarah Nocek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2240 Prairie Ave Ste 10, Beloit, WI 53511 Phone: 608-361-7200 | |
Mrs. Cristina Lynne Kroeze, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Counseling Care Center, Beloit, WI 53511 Phone: 608-364-5686 |