Individual ProviderSusan MillerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2502 E 71st St, Tulsa, OK 74136-5531(918) 587-1200PECOS EnrollmentBased on the most recent information from CMS, provider Susan Miller is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1841704301Provider TypeIndividualFull NameMiller, SusanCredentialMSW, LCSWGenderFemaleSole ProprietorNoEnumeration Date11/20/2017Last Updated11/20/2017Contact InformationPractice LocationPractice Address2502 E 71st St, Tulsa, OK 74136-5531Phone(918) 587-1200Fax(918) 712-7399Mailing LocationMailing Address2502 E 71st St, Tulsa, OK 74136-5531Phone(918) 587-1200Fax(918) 712-7399Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1422Oklahoma