| Myla Nicole Bennett, MD | |
|
1911 Chester Blvd, Richmond, IN 47374-1212 | |
| (765) 962-4872 | |
| (765) 935-8913 |
| Full Name | Myla Nicole Bennett |
|---|---|
| Gender | Female |
| Speciality | Plastic Surgery |
| Location | 1911 Chester Blvd, Richmond, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194935536 | NPI | - | NPPES |
| 201040990 | Medicaid | IN | |
| 0051083 | Medicaid | OH | |
| 000000738583 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 35.097053 (Ohio) | Secondary |
| 208200000X | Plastic Surgery | 01070339A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Myla Nicole Bennett, MD 1100 Reid Pkwy, Medical Staff Services, Richmond, IN 47374-1157 Ph: (765) 962-4872 | Myla Nicole Bennett, MD 1911 Chester Blvd, Richmond, IN 47374-1212 Ph: (765) 962-4872 |
Dr. Shawn Travis Greathouse, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1911 Chester Blvd, Richmond, IN 47374 Phone: 765-962-4872 Fax: 765-935-8913 |