Ms Diane Myers, PA is a medicare enrolled "Physician Assistant" provider in Wichita, Kansas. Her current practice location is
2707 E 21st St N, Wichita, Kansas. You can reach out to her office (for appointments etc.) via phone at
(316) 691-0249.
Ms Diane Myers is licensed to practice in California (license number PA54144) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063639524.
Healthcare Provider's Profile
| Full Name | Ms Diane Myers |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2707 E 21st St N, Wichita, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063639524
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 02/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355508243
- Enrollment ID: I20200309001639
Medical Identifiers
Medical identifiers for Ms Diane Myers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063639524 | NPI | - | NPPES |
| 100212200B | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 961 (Kansas) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY01796 (Missouri) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW001771 (Missouri) | Secondary |
| 363A00000X | Physician Assistant | PA54144 (California) | Primary |
| 363A00000X | Physician Assistant | 15-01466 (Kansas) | Secondary |
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. Ms Diane Myers is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Diane Myers, PA
501 S Idaho St, Ste 100,
La Habra, CA 90631-6047
Ph: (562) 690-0400 | Ms Diane Myers, PA
2707 E 21st St N,
Wichita, KS 67214-2249
Ph: (316) 691-0249 |
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