Melanie Southard, is a
Licensed Vocational Nurse based in Buckholts, Texas. Melanie Southard is licensed to practice in California (license number 265174) and her current practice location is
1355 County Road 204, Buckholts, Texas. She can be reached at her office (for appointments etc.) via phone at
(951) 760-0766.
NPI number for Melanie Southard is 1376152694 and her current mailing address is 1355 County Road 204, Buckholts, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376152694.
Provider's Profile
Full Name | Melanie Southard |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 1355 County Road 204, Buckholts, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376152694
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 07/23/2020
Medical Identifiers
Medical identifiers for Melanie Southard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376152694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 265174 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melanie Southard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Melanie Southard, 1355 County Road 204, Buckholts, TX 76518-2681 Ph: (951) 760-0766 | Melanie Southard, 1355 County Road 204, Buckholts, TX 76518-2681 Ph: (951) 760-0766 |
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