| Brian Mark Melancon, APRN, FNP-C | |
| 
					6 College St, Due West, SC 29639-9554  | |
| (864) 379-2345 | |
| Not Available | 
| Full Name | Brian Mark Melancon | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 6 College St, Due West, South Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417526146 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 25065 (South Carolina) | Primary | 
| Entity Name | Abbeville County Memorial Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063449361 PECOS PAC ID: 7719891506 Enrollment ID: O20031117000214  | 
| Entity Name | Edcare Consulting Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053534750 PECOS PAC ID: 5193086833 Enrollment ID: O20180221000847  | 
| Entity Name | Ich Er Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174002059 PECOS PAC ID: 2860744331 Enrollment ID: O20181010003402  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Brian Mark Melancon, APRN, FNP-C 313 Project Rd, Iva, SC 29655-9055 Ph: (864) 616-1062  | Brian Mark Melancon, APRN, FNP-C 6 College St, Due West, SC 29639-9554 Ph: (864) 379-2345  | 
Amy Marie Rodgers, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 College St, Due West, SC 29639 Phone: 864-379-2345 Fax: 864-379-3228  | |
Amber Taylor, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 College St, Due West, SC 29639 Phone: 864-379-2345  | |
Dori Dahlberg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 College St., Due West, SC 29639 Phone: 864-379-2345  | |
Mrs. Courtney Ashley Burton, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 College Street, Due West, SC 29639 Phone: 864-379-2345  | |
Mrs. Connie D Abbott, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 College Street, Due West Family Medicine, Due West, SC 29639 Phone: 864-379-2345 Fax: 864-379-3228  |