| Melanie Hall, | |
|
1701 E Madison Ave, Ste E, Derby, KS 67037 | |
| (316) 358-9780 | |
| (316) 358-7308 |
| Full Name | Melanie Hall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1701 E Madison Ave, Derby, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417422411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 53-78425-021 (Kansas) | Primary |
| Entity Name | Greenwood County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044961 PECOS PAC ID: 0042129603 Enrollment ID: O20040920000432 |
| Entity Name | Hospital District No 1 Marion Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144355793 PECOS PAC ID: 7517923196 Enrollment ID: O20050428000824 |
| Entity Name | Emergent Care Plus Of Overland Park Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811224371 PECOS PAC ID: 8123153939 Enrollment ID: O20100318000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Melanie Hall, 1701 E Madison Ave, Ste E, Derby, KS 67037 Ph: (316) 358-9780 | Melanie Hall, 1701 E Madison Ave, Ste E, Derby, KS 67037 Ph: (316) 358-9780 |
Mckenzie Brown, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1624 N Rock Rd, Derby, KS 67037 Phone: 316-554-2126 | |
Kimberly Louise Ignowski, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1624 N Rock Rd, Derby, KS 67037 Phone: 316-554-2126 Fax: 316-554-2128 | |
Kathleen A Barrett, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 N Osage Rd, Derby, KS 67037 Phone: 316-788-1907 Fax: 316-788-1941 | |
Ms. Loan Kim Phan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1624 N Rock Rd, Derby, KS 67037 Phone: 316-554-2126 Fax: 316-554-2128 | |
Kaitlyn S Elder, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 E Madison Ave, Derby, KS 67037 Phone: 316-358-9780 | |
Tina Le, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1624 N Rock Rd, Derby, KS 67037 Phone: 316-554-2126 |