Bethany Joy Mello, NP-C | |
951 E Plaza Dr Ste 170, Eagle, ID 83616-6569 | |
(208) 939-3505 | |
Not Available |
Full Name | Bethany Joy Mello |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 951 E Plaza Dr Ste 170, Eagle, Idaho |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033479696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1639A (Idaho) | Primary |
163W00000X | Registered Nurse | 51084 (Idaho) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gary Gregerson Md Pa | 3173838141 | 5 |
Entity Name | Gary Gregerson Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255762506 PECOS PAC ID: 3173838141 Enrollment ID: O20150819009414 |
Mailing Address | Practice Location Address |
---|---|
Bethany Joy Mello, NP-C 951 E Plaza Dr Ste 170, Eagle, ID 83616-6569 Ph: (208) 939-3505 | Bethany Joy Mello, NP-C 951 E Plaza Dr Ste 170, Eagle, ID 83616-6569 Ph: (208) 939-3505 |
Evita Kvista, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 S Linder Rd Apt B301, Eagle, ID 83616 Phone: 208-412-9622 | |
Ms. Beth Elaine Landis, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 E Rivers End Ct, Eagle, ID 83616 Phone: 208-939-6030 | |
Christopher Alan Anthony Nicholas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 E State St, Eagle, ID 83616 Phone: 208-473-3100 | |
Jessica Watson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 S Linder Rd Apt O107, Eagle, ID 83616 Phone: 208-519-8520 | |
Claudia Parcells, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 951 E Plaza Dr, Suite 170, Eagle, ID 83616 Phone: 208-939-3505 Fax: 208-939-3507 | |
Allison Roper Serr, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1079 S Ancona Ave Ste 100, Eagle, ID 83616 Phone: 208-853-2273 |