| Melissa A Hathhorn, NP | |
|
360 E Liberty St, Weiser, ID 83672-2261 | |
| (208) 549-4424 | |
| Not Available |
| Full Name | Melissa A Hathhorn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 360 E Liberty St, Weiser, 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 |
|---|---|---|---|
| 1124609029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 67969 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Weiser Valley Hospital District | 5294704276 | 16 |
| Entity Name | Weiser Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255364030 PECOS PAC ID: 5294704276 Enrollment ID: O20050124000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa A Hathhorn, NP 1024 W 2nd St, Weiser, ID 83672-1809 Ph: (360) 798-8127 | Melissa A Hathhorn, NP 360 E Liberty St, Weiser, ID 83672-2261 Ph: (208) 549-4424 |
Tyler Jue, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 645 E 5th St, Weiser, ID 83672 Phone: 208-549-0370 Fax: 208-302-0855 | |
Elizabeth L Bauer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Andrea Wheeler, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 645 E 5th St, Weiser, ID 83672 Phone: 208-549-4424 | |
Selena Jeanette Ankarberg, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 683 E 3rd St, Weiser, ID 83672 Phone: 208-549-0211 Fax: 208-549-0104 | |
Sarah Anne Martin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 360 E Liberty St, Weiser, ID 83672 Phone: 208-549-4424 |