| Benita Joetta Myles, MD | |
|
1488 Hwy 487, Family Medicine, Sebastopol, MS 39359-0150 | |
| (601) 625-7403 | |
| (601) 625-7404 |
| Full Name | Benita Joetta Myles |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1488 Hwy 487, Sebastopol, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790129021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24546 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Mississippi Civic Improvement Association, Inc | 4183533235 | 47 |
| Entity Name | Central Mississippi Civic Improvement Association, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134151442 PECOS PAC ID: 4183533235 Enrollment ID: O20040128000125 |
| Entity Name | East Central Mississippi Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387619 PECOS PAC ID: 0941103717 Enrollment ID: O20040129000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Benita Joetta Myles, MD P.o. Box 150, Family Medicine, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 | Benita Joetta Myles, MD 1488 Hwy 487, Family Medicine, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 |
Mrs. Candace Tierra Pearson, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1488 Highway 487, Sebastopol, Ms 39359, Sebastopol, MS 39359 Phone: 601-625-7403 | |
Dr. John Edwin Witcher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1488 Hwy 487, Sebastopol Clinic, Sebastopol, MS 39359 Phone: 601-625-7403 Fax: 601-625-7404 |