Marquisha Myles, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Grand Rapids, Michigan. Her current practice location is
275 Michigan St Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 391-6243.
Marquisha Myles is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679369920.
Physician's Profile
Full Name | Marquisha Myles |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 275 Michigan St Ne, Grand Rapids, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679369920
- Provider Enumeration Date: 04/15/2025
- Last Update Date: 06/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 3971013905
- Enrollment ID: I20250610000373
Medical Identifiers
Medical identifiers for Marquisha Myles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679369920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 4351055164 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marquisha Myles is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marquisha Myles, MD 221 Michigan St Ne Ste 400, Grand Rapids, MI 49503-2538 Ph: (616) 391-6243 | Marquisha Myles, MD 275 Michigan St Ne, Grand Rapids, MI 49503-2531 Ph: (616) 391-6243 |
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