| Ms Tricia D Miller, PA | |
|
79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | |
| (518) 563-5900 | |
| (518) 563-5903 |
| Full Name | Ms Tricia D Miller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 79 Hammond Ln, Plattsburgh, 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 |
|---|---|---|---|
| 1720008147 | NPI | - | NPPES |
| 292485400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0175371 (New York) | Primary |
| Entity Name | Medical Director Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
| Entity Name | Patient First Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255067955 PECOS PAC ID: 0042687006 Enrollment ID: O20221103001230 |
| Entity Name | Jds Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174224653 PECOS PAC ID: 2062948748 Enrollment ID: O20260114002266 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tricia D Miller, PA 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 Ph: (518) 563-5900 | Ms Tricia D Miller, PA 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 Ph: (518) 563-5900 |
Staci Carter-kelly, RPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23 Hammond Ln, Plattsburgh, NY 12901 Phone: 518-561-1322 Fax: 518-561-3420 |
Marc A Downs, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 675 State Route 3, Plattsburgh, NY 12901 Phone: 518-566-0672 Fax: 518-566-0641 |
Leo P Lawrence, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 Fax: 518-561-0881 |
Ms. Deborah Monroe Kampschror, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 Cornelia St, Suite 101, Plattsburgh, NY 12901 Phone: 518-562-7990 Fax: 518-562-7991 |
Mrs. Phyllis Mccullum, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 96 Court St, Plattsburgh, NY 12901 Phone: 518-562-1080 |
Mariah Helene Simons, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 |
David W Frostick, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 Beekman St, Plattsburgh, NY 12901 Phone: 518-561-2000 Fax: 518-314-3117 |