Sarah K. Miller, Pllc | |
2623 N Van Buren St Enid OK 73703-1713 | |
(580) 297-9960 | |
(580) 297-9996 |
Full Name | Sarah K. Miller, Pllc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 2623 N Van Buren St, Enid, Oklahoma |
Authorized Official Name and Position | Sarah M Coats (OWNER) |
Authorized Official Contact | 5802979960 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sarah K. Miller, Pllc 2623 N Van Buren St Enid OK 73703-1713 Ph: (580) 297-9960 | Sarah K. Miller, Pllc 2623 N Van Buren St Enid OK 73703-1713 Ph: (580) 297-9960 |
NPI Number | 1316357742 |
---|---|
Provider Enumeration Date | 05/07/2014 |
Last Update Date | 04/23/2025 |
Certification Date | 04/15/2025 |
Medicare PECOS PAC ID | 6507083284 |
---|---|
Medicare Enrollment ID | O20140805000667 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316357742 | NPI | - | NPPES |
200567290C | Medicaid | OK | |
200421850A | Medicaid | OK | |
200567290A | Medicaid | OK | |
200567290D | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 1024 (Oklahoma) | Primary |
Provider Name | Sarah M Coats |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1851308001 PECOS PAC ID: 2668474636 Enrollment ID: I20070203000048 |
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