Melissa M Witt, ARNP | |
200 E Chestnut St Ste 303, Louisville, KY 40202-1831 | |
(502) 629-5552 | |
(502) 629-3132 |
Full Name | Melissa M Witt |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 200 E Chestnut St Ste 303, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093900573 | NPI | - | NPPES |
000052152R | Other | KY | HUMANA - NIS |
3749355000 | Other | KY | PASSPORT ADVTG - NIS |
7100039810 | Medicaid | KY | |
201072290 | Medicaid | IN | |
9582620 | Other | KY | CIGNA - NIS |
50026565 | Other | KY | PASSPORT - NIS |
109655 | Other | KY | SIHO - NIS |
000000639764 | Other | KY | ANTHEM - NIS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 5167P (Kentucky) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 5167P (Kentucky) | Primary |
Entity Name | Community Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20031120000656 |
Entity Name | Southern Emergency Medical Specialists, P.s.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194704866 PECOS PAC ID: 6608779244 Enrollment ID: O20040130000137 |
Mailing Address | Practice Location Address |
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Melissa M Witt, ARNP Po Box 766351, Chicago, IL 60677-6351 Ph: (502) 588-9490 | Melissa M Witt, ARNP 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 Ph: (502) 629-5552 |
Jacob William Harvey Jr., APRN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 516 W Breckinridge St, Louisville, KY 40203 Phone: 502-648-7909 | |
Harold Dean O'brien, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1357 Bardstown Rd, Louisville, KY 40204 Phone: 502-897-6443 Fax: 502-897-3461 | |
Tricia L. Flake, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4402 Churchman Ave, Suite 410, Louisville, KY 40215 Phone: 502-367-6322 Fax: 502-380-3843 | |
Aimee Christine Mihalyov, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 E Gray St, Louisville, KY 40202 Phone: 502-574-6617 Fax: 502-574-8666 | |
Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117 | |
Celaida Lezcano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 234 E Gray St Ste 670, Louisville, KY 40202 Phone: 502-629-4525 Fax: 502-629-4529 | |
Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500 |