| Melissa Ann Gibbs, APRN | |
|
3637 E Johnson Ave Ste B, Jonesboro, AR 72405-1808 | |
| (877) 522-1275 | |
| (509) 491-3031 |
| Full Name | Melissa Ann Gibbs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3637 E Johnson Ave Ste B, Jonesboro, Arkansas |
| 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 |
|---|---|---|---|
| 1194223891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | A005468 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | A005468 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Ideal Telemedicine Services Llc | 2860726221 | 58 |
| Ideal Option Pllc | 6709013105 | 94 |
| Entity Name | Pain Treatment Centers Of America Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128 |
| Entity Name | Ideal Option Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457788275 PECOS PAC ID: 6709013105 Enrollment ID: O20200220002283 |
| Entity Name | Ideal Telemedicine Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346754868 PECOS PAC ID: 2860726221 Enrollment ID: O20200311000756 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ann Gibbs, APRN 500 Sw 7th St Ste A205, Renton, WA 98057-2983 Ph: (509) 222-1275 | Melissa Ann Gibbs, APRN 3637 E Johnson Ave Ste B, Jonesboro, AR 72405-1808 Ph: (877) 522-1275 |
Mrs. Renata Jane Miller, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970 | |
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675 | |
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Morgan Mcalexander, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Red Wolf Blvd, Jonesboro, AR 72405 Phone: 870-972-8181 | |
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630 | |
Heather Stallings, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088 |