| Melissa Ann Etchison, NP, | |
|
806 Jackson St, Columbus, IN 47201 | |
| (812) 748-3412 | |
| (812) 748-3413 |
| Full Name | Melissa Ann Etchison |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 806 Jackson St, Columbus, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144579848 | NPI | - | NPPES |
| 201092460 | Medicaid | IN | |
| 000001079109 | Other | IN | ANTHEM |
| P01212103 | Other | IN | RR MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71004130A (Indiana) | Primary |
| Entity Name | Premise Health Of North Carolina Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427575869 PECOS PAC ID: 7315927597 Enrollment ID: O20211104000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ann Etchison, NP, 806 Jackson St, Columbus, IN 47201-6264 Ph: (812) 748-3412 | Melissa Ann Etchison, NP, 806 Jackson St, Columbus, IN 47201 Ph: (812) 748-3412 |
Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804 | |
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640 | |
Carolyn Behling, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020 | |
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400 | |
Shelley L Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781 | |
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660 | |
Heather Ann Brott, APRN, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2118 25th St Ste C, Columbus, IN 47201 Phone: 812-372-8426 |