Melissa Anne Iversen, PA | |
21 N Main St, Middleport, NY 14105-1027 | |
(716) 735-7774 | |
(716) 735-3036 |
Full Name | Melissa Anne Iversen |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 21 N Main St, Middleport, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679711428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 013123 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Melissa Anne Iversen, PA 21 N Main St, Middleport, NY 14105-1027 Ph: (716) 735-7774 | Melissa Anne Iversen, PA 21 N Main St, Middleport, NY 14105-1027 Ph: (716) 735-7774 |
Mr. Ronald K. Miller, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21 N Main St, Middleport, NY 14105 Phone: 716-735-7774 Fax: 716-735-3036 | |
Mrs. Maron Elizabeth Barraclough, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 N Main St, Middleport, NY 14105 Phone: 716-735-7774 |