Melonie Renee Roberts, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Hollister, Missouri. Her current practice location is
290 Clift Ct, Hollister, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 336-4355.
Melonie Renee Roberts is licensed to practice in Missouri (license number 2017013024) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285902841.
Provider's Profile
| Full Name | Melonie Renee Roberts |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 290 Clift Ct, Hollister, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285902841
- Provider Enumeration Date: 12/09/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577710508
- Enrollment ID: I20120828000030
Medical Identifiers
Medical identifiers for Melonie Renee Roberts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285902841 | NPI | - | NPPES |
| 05107335 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | R874839 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2017013024 (Missouri) | Primary |
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. Melonie Renee Roberts allows following entities to bill medicare on her behalf.
| Entity Name | Diamondhead Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659673606
PECOS PAC ID: 6305028051
Enrollment ID: O20110316000859 |
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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. Melonie Renee Roberts 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 |
|---|
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 |
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