Isabella Anne Melisko, MSN, AGACNP-BC is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" in Mesa, Arizona. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Hospital Based Physicians Arizona Llc and her current practice location is
1400 S Dobson Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 412-3000.
Isabella Anne Melisko is licensed to practice in Arizona (license number 227684) 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 1811711054.
Provider's Profile
| Full Name | Isabella Anne Melisko |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 1400 S Dobson Rd, Mesa, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Isabella Anne Melisko graduated from nursing school in 2024
NPI Data:
- NPI Number: 1811711054
- Provider Enumeration Date: 11/13/2024
- Last Update Date: 01/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062935984
- Enrollment ID: I20250401000822
Medical Identifiers
Medical identifiers for Isabella Anne Melisko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811711054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2100X | Nurse Practitioner - Acute Care | 227684 (Arizona) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 227684 (Arizona) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 227684 (Arizona) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 227684 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
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. Isabella Anne Melisko allows following entities to bill medicare on her behalf.
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752 |
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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. Isabella Anne Melisko 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 |
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Isabella Anne Melisko, MSN, AGACNP-BC
1100 E Bell Rd Apt 2026,
Phoenix, AZ 85022-3174
Ph: (602) 717-8577 | Isabella Anne Melisko, MSN, AGACNP-BC
1400 S Dobson Rd,
Mesa, AZ 85202-4707
Ph: (480) 412-3000 |
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