MEDICARE: MARY ELIZABETH MYERS 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	3365	NE

General Provider Information

NPI Number	:	1588520118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELIZABETH MYERS PA-C

Provider Business Mailing Address
First Line	:	PO BOX 22359
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68542-2359
Country	:	US
Telephone Number	:	402-802-2681
Fax Number	:	888-658-4005

Provider Business Practice Location Address
First Line	:	8206 AUTUMN LN
Second Line	:
City	:	MURRAY
State	:	NE
Zip	:	68409-3003
Country	:	US
Telephone Number	:	618-334-2915
Fax Number	:

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	03/11/2026

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