Mrs Melissa Renae Clegg, ARNP | |
305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | |
(386) 671-0691 | |
(386) 671-0694 |
Full Name | Mrs Melissa Renae Clegg |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 305 Memorial Medical Pkwy, Daytona Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366991812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | ARNP9190430 (Florida) | Primary |
Entity Name | Cardiology Physicians Memorial, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740559855 PECOS PAC ID: 2567622954 Enrollment ID: O20120321000853 |
Mailing Address | Practice Location Address |
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Mrs Melissa Renae Clegg, ARNP 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 Ph: (386) 671-0691 | Mrs Melissa Renae Clegg, ARNP 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 Ph: (386) 671-0691 |
Ashley Gillette, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 112 Milton Rd, Daytona Beach, FL 32118 Phone: 970-260-0885 | |
Brittany C Gaskin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117 Phone: 386-274-0500 | |
Charles Wright, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-238-3200 Fax: 386-238-3264 | |
Bruce Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118 Phone: 386-767-9544 | |
Cloressa Dizney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-425-4542 Fax: 386-425-7705 | |
Gena Genovese Brennan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117 Phone: 386-353-7633 Fax: 386-615-4105 | |
Mrs. Krystal Marie Disantis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 786-738-9144 Fax: 877-245-1597 |