Johnathan Myers, is a
Registered Nurse - Psychiatric/mental Health based in Deer Park, Illinois. Johnathan Myers is licensed to practice in Illinois (license number 041461508) and his current practice location is
23975 W Lancaster Ct, Deer Park, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 762-4703.
NPI number for Johnathan Myers is 1720775109 and his current mailing address is 23975 W Lancaster Ct, Deer Park, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720775109.
Provider's Profile
| Full Name | Johnathan Myers |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse - Psychiatric/mental Health |
|---|
| Location | 23975 W Lancaster Ct, Deer Park, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720775109
- Provider Enumeration Date: 04/18/2023
- Last Update Date: 04/18/2023
Medical Identifiers
Medical identifiers for Johnathan Myers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720775109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 041461508 (Illinois) | 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. Johnathan Myers is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Johnathan Myers, 23975 W Lancaster Ct, Deer Park, IL 60010-9703 Ph: () - | Johnathan Myers, 23975 W Lancaster Ct, Deer Park, IL 60010-9703 Ph: (815) 762-4703 |
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