Pamela A Myers, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME072378 Issued in FL

Practice address

11082 S Military TRL
Suite B46
Boynton Beach, FL 33436-7217

Phone

(561) 740-3299

Fax

(561) 740-3749

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Health Care of Brevard

  • Primary Care Clinic/Center
  • Palm Bay, FL
  • NPI 1598323461

  FL

  Medicare reassignment Care Compare group

Specialty

Internal Medicine

Education

New York Medical College, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Florida Health Care of Brevard 4 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 25, 2022.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1104860105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11082 S MILITARY TRL",
            "address_2": "SUITE B46",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367217",
            "telephone_number": "561-740-3299",
            "fax_number": "561-740-3749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11082 S MILITARY TRL",
            "address_2": "SUITE B46",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367217",
            "telephone_number": "561-740-3299",
            "fax_number": "561-740-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME072378",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NY0206118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Boynton Beach, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.