Melonie Renee Roberts, FNP-BC | |
290 Clift Ct, Hollister, MO 65672-5947 | |
(417) 336-4355 | |
Not Available |
Full Name | Melonie Renee Roberts |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 290 Clift Ct, Hollister, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285902841 | NPI | - | NPPES |
05107335 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R874839 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | 2017013024 (Missouri) | Primary |
Entity Name | Dca Mississippi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811129323 PECOS PAC ID: 2668516675 Enrollment ID: O20100215000301 |
Entity Name | Diamondhead Urgent Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659673606 PECOS PAC ID: 6305028051 Enrollment ID: O20110316000859 |
Mailing Address | Practice Location Address |
---|---|
Melonie Renee Roberts, FNP-BC 290 Clift Ct, Hollister, MO 65672-5947 Ph: (417) 336-4355 | Melonie Renee Roberts, FNP-BC 290 Clift Ct, Hollister, MO 65672-5947 Ph: (417) 336-4355 |
Michael John Munn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Gage Dr, Hollister, MO 65672 Phone: 417-334-8300 | |
Mrs. Lindsi R Walker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Gage Dr, Hollister, MO 65672 Phone: 417-831-0150 Fax: 580-323-2276 |