| Dr Alexis D Parks Myton, MD | |
|
235 W National Rd., Vandalia, OH 45377-9725 | |
| (937) 898-3600 | |
| (937) 898-2731 |
| Full Name | Dr Alexis D Parks Myton |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 235 W National Rd., Vandalia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487664744 | NPI | - | NPPES |
| 35067512 | Other | OH | OHIO MEDICAL LICENSE |
| 0989793 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35067512 (Ohio) | Primary |
| Entity Name | Mills Medical Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477701969 PECOS PAC ID: 4981767597 Enrollment ID: O20090108000186 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alexis D Parks Myton, MD 235 W National Rd., Vandalia, OH 45377-1969 Ph: (937) 898-3600 | Dr Alexis D Parks Myton, MD 235 W National Rd., Vandalia, OH 45377-9725 Ph: (937) 898-3600 |
Sandra K Harewood, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 235 W National Rd, Vandalia, OH 45377 Phone: 937-898-3600 Fax: 937-898-2731 | |
Dr. Robert Glen Sickinger, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 113 W National Rd, Vandalia, OH 45377 Phone: 937-223-6837 Fax: 937-223-3024 |