Individual
CAROL ANN MILLER-SCHAEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901
(570) 622-4209
(570) 622-1386
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD042053L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000675657
BLUE SHIELD
PA
05
—
0012465150002
—
PA
01
—
01143401
CAPITAL BLUE CROSS
PA
01
—
0473231
US HEALTHCARE
PA
01
—
0998130
KEYSTONE SPECIALIST
PA
01
—
110118250
RAILROAD MEDICARE PBA
PA
01
—
116993900
FEDERAL EMPLOYEES COMP
PA
01
—
203010
FEDERAL BLACK LUNG
PA
01
—
7095
GEISINGER HEALTH PLAN
PA
Enumeration date
02/07/2006
Last updated
08/09/2018
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