MEDICARE: MIKAIYLA LIZABETH ERFMAN MEYERS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	10004893A	IN

General Provider Information

NPI Number	:	1356159370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKAIYLA LIZABETH ERFMAN MEYERS PA-C

Provider Business Mailing Address
First Line	:	11018 RESERVOIR RD
Second Line	:
City	:	BROOKVILLE
State	:	IN
Zip	:	47012-9585
Country	:	US
Telephone Number	:	765-265-9545
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 HIGHLAND RD STE 1
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-8810
Country	:	US
Telephone Number	:	765-962-4444
Fax Number	:	765-939-4200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2024
Last Update Date	:	06/01/2026

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