MARY KIMBERLY MILES
NPI 1235485707
Social Worker in Lebanon, KY

Q: What is Mary Miles's NPI number?

The NPI number for Mary Miles is 1235485707. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Q: What is Mary Miles's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Miles was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2012PECOS EnrolledAccepts Medicare Assignment

65 OLD SPRINGFIELD RD, LEBANON, KY 40033(270) 692-2509(270) 692-2592 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Kimberly Miles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KIMBERLY MILES (NPI 1235485707) is an individual social worker in Lebanon, Kentucky and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1235485707

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMARY KIMBERLY MILES

Location Address65 OLD SPRINGFIELD RDLebanon, KY 40033-9185

Mailing Address107 Cranes Roost CtElizabethtown, KY 42701-3650 · (270) 765-2605 · Fax (270) 234-8572

Phone(270) 692-2509

Fax(270) 692-2592

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 2, 2012

Last NPPES UpdateApril 2, 2014

✔ NPI 1235485707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

65 OLD SPRINGFIELD RD, Lebanon, KY 40033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Kimberly Miles is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284047622

PECOS Enrollment IDI20210104002013

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RUBY COMBS RN

Registered Nurse (Psychiatric/Mental Health)