Melissa Halbeisen, | |
313 South Ave, Fanwood, NJ 07023-1364 | |
(908) 889-1900 | |
Not Available |
Full Name | Melissa Halbeisen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 313 South Ave, Fanwood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770265571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ14891000 (New Jersey) | Primary |
Entity Name | Id Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639146277 PECOS PAC ID: 7719959998 Enrollment ID: O20101208000463 |
Mailing Address | Practice Location Address |
---|---|
Melissa Halbeisen, 134 S Euclid Ave, Westfield, NJ 07090-5103 Ph: () - | Melissa Halbeisen, 313 South Ave, Fanwood, NJ 07023-1364 Ph: (908) 889-1900 |
Hira Tanvir, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79 Shady Ln, Fanwood, NJ 07023 Phone: 347-694-0273 | |
Dr. Regina Willard, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 313 South Ave, Fanwood, NJ 07023 Phone: 908-889-1900 | |
Rebecca E Lau, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 313 South Ave, Fanwood, NJ 07023 Phone: 908-301-2600 |