Melissa Ann Etchison, NP, | |
806 Jackson St, Columbus, IN 47201 | |
(812) 748-3412 | |
(812) 748-3413 |
Full Name | Melissa Ann Etchison |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 806 Jackson St, Columbus, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144579848 | NPI | - | NPPES |
201092460 | Medicaid | IN | |
000001079109 | Other | IN | ANTHEM |
P01212103 | Other | IN | RR MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 71004130A (Indiana) | Primary |
Entity Name | Premise Health Of North Carolina Medical, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427575869 PECOS PAC ID: 7315927597 Enrollment ID: O20211104000772 |
Mailing Address | Practice Location Address |
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Melissa Ann Etchison, NP, 806 Jackson St, Columbus, IN 47201-6264 Ph: (812) 748-3412 | Melissa Ann Etchison, NP, 806 Jackson St, Columbus, IN 47201 Ph: (812) 748-3412 |
Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804 | |
Tatiana D. Doran, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2502 25th St, Columbus, IN 47201 Phone: 812-372-8883 Fax: 812-372-8964 | |
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640 | |
Carolyn Behling, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400 | |
Shelley L Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781 | |
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660 |