| Stacy C Miller, PA-C | |
|
266 Skidmore Ln, Sutton, WV 26601-9271 | |
| (304) 765-0351 | |
| (304) 765-7019 |
| Full Name | Stacy C Miller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 266 Skidmore Ln, Sutton, West Virginia |
| 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 |
|---|---|---|---|
| 1033460050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital Of Buckhannon, Inc | Buckhannon, WV | Hospital |
| Braxton County Memorial Hospital, Inc | Gassaway, WV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Care Of West Virginia, Inc. | 0446232987 | 89 |
| Entity Name | Community Care of West Virginia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609042266 PECOS PAC ID: 0446232987 Enrollment ID: O20040607001043 |
| Entity Name | Community Care of West Virginia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114277050 PECOS PAC ID: 0446232987 Enrollment ID: O20130226000610 |
| Entity Name | Community Care of West Virginia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770917577 PECOS PAC ID: 0446232987 Enrollment ID: O20131219001230 |
| Entity Name | Community Care of West Virginia, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790110047 PECOS PAC ID: 0446232987 Enrollment ID: O20140603002111 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy C Miller, PA-C 266 Skidmore Ln, Sutton, WV 26601-9271 Ph: (304) 765-0351 | Stacy C Miller, PA-C 266 Skidmore Ln, Sutton, WV 26601-9271 Ph: (304) 765-0351 |
Mrs. Cynthia Talbott Vincent, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 93 Skidmore Lane, Sutton, WV 26601 Phone: 304-765-3480 Fax: 304-765-3286 |