Melissa Kristyne Wisslead, is a medicare enrolled "Nurse Practitioner" in Colchester, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Hospital Association and her current practice location is
110 E Market St, Colchester, Illinois. You can reach out to her office (for appointments etc.) via phone at
(319) 776-3301.
Melissa Kristyne Wisslead is licensed to practice in Illinois (license number 209014400) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124470091.
Provider's Profile
| Full Name | Melissa Kristyne Wisslead |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 110 E Market St, Colchester, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Melissa Kristyne Wisslead graduated from nursing school in 2016
NPI Data:
- NPI Number: 1124470091
- Provider Enumeration Date: 07/05/2016
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294018347
- Enrollment ID: I20170215001089
Medical Identifiers
Medical identifiers for Melissa Kristyne Wisslead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124470091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 041385294 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209014400 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Hospital Association | 0244134682 | 31 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Kristyne Wisslead allows following entities to bill medicare on her behalf.
| Entity Name | Memorial Hospital Association |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730139031
PECOS PAC ID: 0244134682
Enrollment ID: O20031126000246 |
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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. Melissa Kristyne Wisslead is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Melissa Kristyne Wisslead,
Po Box 160,
Carthage, IL 62321-0160
Ph: (309) 776-3301 | Melissa Kristyne Wisslead,
110 E Market St,
Colchester, IL 62326-1271
Ph: (319) 776-3301 |
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