Myllissa M Wyatt, NP - Medicare Nurse Practitioner in Salmon, ID

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Myllissa M Wyatt, NP is a medicare enrolled "Nurse Practitioner - Family" in Salmon, Idaho. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Salmon River Clinic and her current practice location is 403 Riverfront Dr, Salmon, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 742-1110.

Myllissa M Wyatt is licensed to practice in Idaho (license number NP-1202A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730439266.

Contact Information

Myllissa M Wyatt, NP
403 Riverfront Dr,
Salmon, ID 83467-5162
(208) 742-1110
(208) 742-1120

Map and Direction




Provider's Profile

Full NameMyllissa M Wyatt
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location403 Riverfront Dr, Salmon, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Myllissa M Wyatt graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1730439266
  • Provider Enumeration Date: 09/12/2012
  • Last Update Date: 11/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729230503
  • Enrollment ID: I20121129000501

Medical Identifiers

Medical identifiers for Myllissa M Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730439266NPI-NPPES
IDTPID011077MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1202A (Idaho)Primary
363L00000XNurse Practitioner 1202A (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Salmon Valley HospiceSalmon, IDHospice
Steele Memorial Medical CenterSalmon, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Salmon River Clinic45879416203

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. Myllissa M Wyatt allows following entities to bill medicare on her behalf.
Entity NameSound Physicians Of Idaho
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730407461
PECOS PAC ID: 4688705346
Enrollment ID: O20100624000921
Entity NameSalmon River Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104351972
PECOS PAC ID: 4587941620
Enrollment ID: O20170427001778

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. Myllissa M Wyatt 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 AddressPractice Location Address
Myllissa M Wyatt, NP
403 Riverfront Dr,
Salmon, ID 83467-5162

Ph: (208) 742-1110		Myllissa M Wyatt, NP
403 Riverfront Dr,
Salmon, ID 83467-5162

Ph: (208) 742-1110

Reviews and Comments


Nurse Practitioner Nurses in Salmon, ID

Ms. Janet Merrell, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1911 Main St, Salmon, ID 83467
Phone: 208-756-2211    Fax: 208-756-8700
Suzanne Nebeker, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 805 Main St, Salmon, ID 83467
Phone: 208-756-6212    Fax: 208-756-6336
Mrs. Monica Lena White, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 404 Courthouse Dr, Salmon, ID 83467
Phone: 208-993-3479    
John Dustin Pena, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 403 Riverfront Dr, Salmon, ID 83467
Phone: 208-742-1110    Fax: 208-742-1120

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.