| Dr Wayne J Myles, DO | |
|
1702 Lafayette Rd, Crawfordsville, IN 47933-1033 | |
| (765) 362-5100 | |
| (765) 362-5171 |
| Full Name | Dr Wayne J Myles |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1702 Lafayette Rd, Crawfordsville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568483907 | NPI | - | NPPES |
| 310917085219 | Other | OH | OHIO MEDICAID CARESOURCE |
| 2039654 | Other | OH | OHIO MEDICAID MOLINA |
| 292801 | Other | OH | OHIO MEDICAID UNISON |
| 2039654 | Medicaid | OH | |
| 5630064000 | Medicaid | WV | |
| P00787559 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1717 (West Virginia) | Secondary |
| 207Q00000X | Family Medicine | 34006715 (Ohio) | Primary |
| Entity Name | Valley Professionals Community Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104006253 PECOS PAC ID: 7618067265 Enrollment ID: O20071219000487 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wayne J Myles, DO 1702 Lafayette Rd, Crawfordsville, IN 47933-1033 Ph: (765) 362-5100 | Dr Wayne J Myles, DO 1702 Lafayette Rd, Crawfordsville, IN 47933-1033 Ph: (765) 362-5100 |
Dr. Tahmina Ahmad, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1684 Bush Ln, Crawfordsville, IN 47933 Phone: 765-365-9500 | |
Timothy R Tanselle, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 Darlington Ave, Ste 300, Crawfordsville, IN 47933 Phone: 765-362-4940 Fax: 765-362-1302 | |
Dr. Charles R Friend, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933 Phone: 765-362-5789 Fax: 765-362-2453 | |
William H Leech, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1684 Bush Ln, Crawfordsville, IN 47933 Phone: 765-365-9500 | |
Saira Bano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933 Phone: 765-362-5789 Fax: 765-362-2453 | |
Odell G Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1640 Crawfordsville Square Dr, Crawfordsville, IN 47933 Phone: 765-362-5789 Fax: 765-362-2453 |