| Jason Robert Myrick, PA-C | |
|
1818 N Meade St, Appleton, WI 54911-3454 | |
| (920) 731-4101 | |
| Not Available |
| Full Name | Jason Robert Myrick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1818 N Meade St, Appleton, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487543997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8504 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Thedacare Medical Center - Waupaca Inc | Waupaca, WI | Hospital |
| Thedacare Regional Medical Center - Neenah Inc | Neenah, WI | Hospital |
| Thedacare Medical Center - Shawano Inc | Shawano, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare, Incorporated | 1759294887 | 654 |
| Entity Name | Thedacare, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Robert Myrick, PA-C 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Jason Robert Myrick, PA-C 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 731-4101 |
Rachel Rockweiler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3916 N Intertech Ct, Appleton, WI 54913 Phone: 920-996-1000 |
Hanna Rose Sippel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-4101 Fax: 920-735-7618 |
Mrs. Katherine K Krause, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 E Grant St, Appleton, WI 54911 Phone: 920-831-5050 Fax: 920-738-6400 |
Kirsten D Pethan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 W Calumet St, Appleton, WI 54915 Phone: 920-967-4141 Fax: 833-972-1585 |
Anna L King, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414 |
Nicole Mae Mcintyre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 247 S Nicolet Rd, Appleton, WI 54914 Phone: 888-938-3838 Fax: 888-919-1083 |
Jane L Jumes, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3301 N Ballard Rd, Suite B, Appleton, WI 54911 Phone: 920-733-4443 |