Bethany Luciani Miller, PA-C is a
Physician Assistant physician based in Uncasville, Connecticut. Bethany Luciani Miller is licensed to practice in Connecticut (license number 001434) and her current practice location is 80 Norwich New London Tpke, Uncasville, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 848-1297.
NPI number for Bethany Luciani Miller is 1639111891 and her current mailing address is 80 Norwich New London Tpke, Uncasville, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639111891.
Physician's Profile
| Full Name | Bethany Luciani Miller |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
|---|
| Location | 80 Norwich New London Tpke, Uncasville, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639111891
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 11/20/2013
Medical Identifiers
Medical identifiers for Bethany Luciani Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639111891 | NPI | - | NPPES |
| 290001434CT01 | Other | | ANTHEM/ECCG:06-1049086 |
| 625224 | Other | | CONNECTICARE |
| P3617313 | Other | | OXFORD/ECCD: 06-1616101 |
| P3495612 | Other | | OXFORD/ECCG: 06-1049086 |
| 2V5291 | Other | | HEALTHNET/ECCD:06-1616101 |
| 2V5290 | Other | | HEALTHNET/ECCG:06-1049086 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 1434 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 001434 (Connecticut) | Primary |
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. Bethany Luciani Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bethany Luciani Miller, PA-C
80 Norwich New London Tpke,
Uncasville, CT 06382-2527
Ph: (860) 848-1297 | Bethany Luciani Miller, PA-C
80 Norwich New London Tpke,
Uncasville, CT 06382-2527
Ph: (860) 848-1297 |
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