Mylena Ann Yee, PA
Individual provider Active NPI Physician Assistant · Glen Daniel, WV
NPI 1144477449 · NPPES record last updated Jan 12, 2025
Key facts
- NPI
- 1144477449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3252 (SC)
- Practice address
- 7031 Harper Rd
Glen Daniel, WV 25844-9480 - Phone
- (304) 252-8555
- Fax
- (304) 934-4005
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190816000841 | SC | Practitioner - Physician Assistant | 5597092353 | Reassigns benefits to 1 organization |
| I20240223002455 | WV | Practitioner - Physician Assistant | 5597092353 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680 | WV | MD | Clinical Psychologist |
| 3252 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgetown Physician Associates, LLC | Current |
Accepting new patients | |
| Community Health Systems Inc | Current |
Accepting new patients | |
| Community Health Systems, Inc. | Current |
Accepting new patients | |
| Georgetown Physician Associates LLC | Current |
Accepting new patients |
Locations
2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443
2200 Crow Ln
Ste 301
Myrtle Beach, SC 29577
Phone (843) 848-5300
12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231
252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551
101 Bill Baker Way
Beckley, WV 25801
7031 Harper Rd
Glen Daniel, WV 25844
Phone (304) 934-4000
Interoperability endpoints
- mylena.yee.1@14333.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3252 | SC | Yes |
Addresses
Primary practice location
7031 Harper Rd
Glen Daniel, WV 25844-9480
Mailing address
252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 253-2628
Other practice location 1
722 Bolt Rd.
Fairdale, WV 25839
Phone (304) 934-7217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3261PA | Medicaid | SC |
Other providers in Glen Daniel, WV
All providers in Glen Daniel, WV · Physician Assistant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.