| Terri Denise Miller, PMHNP-BC | |
|
100 New State Hwy, Raynham, MA 02767-5423 | |
| (781) 666-2711 | |
| (781) 666-2712 |
| Full Name | Terri Denise Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 100 New State Hwy, Raynham, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295492635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2371592 (Massachusetts) | Primary |
| Entity Name | Spectrum Neuro Behavioral Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356906572 PECOS PAC ID: 2860721362 Enrollment ID: O20190910001508 |
| Entity Name | Leading Light Behavioral Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225688708 PECOS PAC ID: 5193104107 Enrollment ID: O20220622002137 |
| Entity Name | Advanced Telepsych Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508456377 PECOS PAC ID: 6800275603 Enrollment ID: O20231218003613 |
| Mailing Address | Practice Location Address |
|---|---|
| Terri Denise Miller, PMHNP-BC 11504 Larkin Foreway, Unit 201, Louisville, KY 40291 Ph: (859) 329-9553 | Terri Denise Miller, PMHNP-BC 100 New State Hwy, Raynham, MA 02767-5423 Ph: (781) 666-2711 |
Eric Toe Togba, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 South St W Ste 4f, Raynham, MA 02767 Phone: 617-901-9233 | |
Miss Madysen Blayke Leone, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Paramount Dr Ste 205, Raynham, MA 02767 Phone: 508-971-5016 | |
Deborah Worthington, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Paramount Dr Ste 301, Raynham, MA 02767 Phone: 401-457-1500 | |
Ileana Mather, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Paramount Dr Ste 205, Raynham, MA 02767 Phone: 617-798-6500 | |
Ms. Deborah Tremblay, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 416 Broadway, Raynham, MA 02767 Phone: 508-828-5020 Fax: 866-262-4460 | |
Jessica Rose Grusmark, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 266 Us Highway 44, Raynham, MA 02767 Phone: 508-824-1361 |