Mrs Melissa Renee Bouassaba, BC-ACNS | |
890 W Faris Rd Ste 580, Greenville, SC 29605-4281 | |
(864) 455-7874 | |
(864) 455-8933 |
Full Name | Mrs Melissa Renee Bouassaba |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 890 W Faris Rd Ste 580, Greenville, South Carolina |
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 |
---|---|---|---|
1922362052 | NPI | - | NPPES |
NP6225 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2200X | Clinical Nurse Specialist - Adult Health | 23210 (South Carolina) | Primary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 209009613 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa Renee Bouassaba, BC-ACNS 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Mrs Melissa Renee Bouassaba, BC-ACNS 890 W Faris Rd Ste 580, Greenville, SC 29605-4281 Ph: (864) 455-7874 |
Bonnie Lee Walker, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 120 Lake Circle Dr, Greenville, SC 29609 Phone: 570-581-0675 | |
Ms. Jennifer Hawthorne, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1 Chick Springs Rd Ste 218c, Greenville, SC 29609 Phone: 864-438-4579 | |
Ms. Miriam C Ellenburg-ferro, ACNP, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-8933 | |
Ms. Chelsea Renee Colombo, ACNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-8933 | |
Christy Renee Smith, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 317 Saint Francis Dr, Ste 340, Greenville, SC 29601 Phone: 864-380-8620 | |
Mrs. Deborah Ann Boling, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1120 Grove Rd, Suite B, Greenville, SC 29605 Phone: 864-455-8897 Fax: 864-455-6598 | |
Jean P. Brown, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 950 W Faris Rd, Greenville, SC 29605 Phone: 864-255-7842 Fax: 864-271-4471 |