| Ms Shelley L Miller, MS | |
|
1526 Walden Ave Ste 400, Cheektowaga, NY 14225-4985 | |
| (716) 895-6700 | |
| (716) 895-0436 |
| Full Name | Ms Shelley L Miller |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1526 Walden Ave Ste 400, Cheektowaga, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407967078 | NPI | - | NPPES |
| 00030241501 | Other | NY | UNIVERA |
| 000506354003 | Other | NY | COMMUNITY BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 010990 (New York) | Primary |
| Entity Name | Professional Medical Concierge Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841812310 PECOS PAC ID: 0840614020 Enrollment ID: O20200721002421 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shelley L Miller, MS 1526 Walden Ave, Buffalo, NY 14225-4965 Ph: (716) 895-6702 | Ms Shelley L Miller, MS 1526 Walden Ave Ste 400, Cheektowaga, NY 14225-4985 Ph: (716) 895-6700 |
Mr. Stefan G Perkowski, Counselor Medicare: Medicare Enrolled Practice Location: 301 Cayuga Road, Suite 200, Cheektowaga, NY 14225 Phone: 716-819-3420 Fax: 716-819-3430 | |
Miss Erin E Kelley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1526 Walden Ave, Cheektowaga, NY 14225 Phone: 716-895-6700 | |
Ashley Stowe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1526 Walden Ave, Cheektowaga, NY 14225 Phone: 716-895-7600 Fax: 716-895-0436 | |
Kymberly Lodge, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1526 Walden Ave, Suite 400, Cheektowaga, NY 14225 Phone: 716-895-6700 Fax: 716-895-0436 | |
Meghann Rose Simpson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1526 Walden Ave Ste 400, Cheektowaga, NY 14225 Phone: 716-895-6700 | |
Rebecca Sedia, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2625 Harlem Rd Ste 210, Cheektowaga, NY 14225 Phone: 716-893-7337 Fax: 716-893-7699 | |
Shauna Van Velson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1526 Walden Avenue, Suite 400, Cheektowaga, NY 14225 Phone: 716-895-6700 |