Melonie I Blancaneaux, | |
Tseshootsooi Medical Center, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
(928) 729-8587 | |
Not Available |
Full Name | Melonie I Blancaneaux |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | Tseshootsooi Medical Center, Fort Defiance, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285150664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 121575 (Alaska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth Ketchikan Medical Center | Ketchikan, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ketchikan Indian Corporation | 8426043761 | 10 |
Entity Name | Ketchikan Indian Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821120486 PECOS PAC ID: 8426043761 Enrollment ID: O20050623000335 |
Mailing Address | Practice Location Address |
---|---|
Melonie I Blancaneaux, Po Box 589, Fort Defiance, AZ 86504-0589 Ph: () - | Melonie I Blancaneaux, Tseshootsooi Medical Center, Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8587 |
Rosemary Josephine Bolza, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Intersection Of Highways 7 And 12, Fort Defiance, AZ 86504 Phone: 928-729-8775 | |
Mrs. Patricia Nadurak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Corner Of N12 And N8, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Jamie S Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Routes N7 & N12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Kathryn Barron, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8821 | |
June Ellen Rhoda, APRN-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Ms. Jean Proper, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |