Look up the most recent NPI and PECOS records

Sydney Miller

Social Worker

Behavioral Health & Social Service Providers

1050 E Market St, Louisville, KY 40206-1874

PECOS Enrollment

Based on the most recent information from CMS, provider Sydney Miller is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1023410677
Provider Type
Individual
Full Name
Miller, Sydney
Gender
Female

Sole Proprietor
No
Enumeration Date
9/25/2014
Last Updated
9/26/2022

Contact Information

Practice Location

1050 E Market St, Louisville, KY 40206-1874

(502) 596-1267

Unlisted Fax

Mailing Location

4208 Lucas Ct, Louisville, KY 40213-2014

(502) 593-3816

(502) 596-1421

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 256714 Kentucky

Provider Identifiers

ID	Description	Issuer
ID 171M00000X	Description Medicaid	Issuer Unlisted Kentucky

Sydney Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Feltner, Christina Ann

Bruederle, Lynda Kaye

Clancy, Charles

Mitchell, Tiffany

Strobel, Tina O'Grady

Newman, James Casey

Simmons, Kristen Miyo

Melhuish, Ursula Miller

Bryant, Dionne

Adams, Katie Nicole