| Mrs Melanie Gilliland, FNP | |
|
120 Desert Sage Way, Mountain Home, ID 83647-1038 | |
| (208) 587-3988 | |
| (208) 587-3324 |
| Full Name | Mrs Melanie Gilliland |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 120 Desert Sage Way, Mountain Home, Idaho |
| 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 |
|---|---|---|---|
| 1730585878 | NPI | - | NPPES |
| APN19372 | Other | TN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 19372 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Glenns Ferry Health Center Inc | 5496656894 | 17 |
| Glenns Ferry Health Center Inc | 5496656894 | 17 |
| Hardeman County Community Health Center | 5799694147 | 10 |
| Entity Name | Hardeman County Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861468340 PECOS PAC ID: 5799694147 Enrollment ID: O20040615001290 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melanie Gilliland, FNP 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 696-7203 | Mrs Melanie Gilliland, FNP 120 Desert Sage Way, Mountain Home, ID 83647-1038 Ph: (208) 587-3988 |
Dawn D Best, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Charlene Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Desert Sage Way, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Vernon T Mullins, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-587-1850 | |
Robin Amber Nettleton, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 840 N 4th E, Mountain Home, ID 83647 Phone: 208-587-1850 Fax: 208-587-1851 | |
Genevieve Marie Leetham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-587-3988 Fax: 208-587-3324 | |
Linda G Shaw, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 N 6th E, Mountain Home, ID 83647 Phone: 208-587-5880 Fax: 208-587-7905 |