| Johnny W Myers, | |
|
550 W Main St, New Lebanon, OH 45345-9172 | |
| (937) 687-1911 | |
| (937) 687-1888 |
| Full Name | Johnny W Myers |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 550 W Main St, New Lebanon, Ohio |
| 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 |
|---|---|---|---|
| 1316594997 | NPI | - | NPPES |
| 0372742 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.426759 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | LE-00029703 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alliance Physicians Inc | 0840104360 | 277 |
| Entity Name | Alliance Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny W Myers, 1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115 Ph: (937) 762-1310 | Johnny W Myers, 550 W Main St, New Lebanon, OH 45345-9172 Ph: (937) 687-1911 |
Molly Rossi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E Main St, New Lebanon, OH 45345 Phone: 937-687-1331 | |
Amanda Nicole Gengler, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 442 Holderman Pl, New Lebanon, OH 45345 Phone: 937-974-7089 | |
Miss Rainy Weatherholt, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Brumbaugh Ave, New Lebanon, OH 45345 Phone: 513-806-7247 |