| Melissa Anne Iversen, PA | |
|
21 N Main St, Middleport, NY 14105-1027 | |
| (716) 735-7774 | |
| (716) 735-3036 |
| Full Name | Melissa Anne Iversen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 21 N Main St, Middleport, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679711428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 013123 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Anne Iversen, PA 21 N Main St, Middleport, NY 14105-1027 Ph: (716) 735-7774 | Melissa Anne Iversen, PA 21 N Main St, Middleport, NY 14105-1027 Ph: (716) 735-7774 |
Mr. Ronald K. Miller, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21 N Main St, Middleport, NY 14105 Phone: 716-735-7774 Fax: 716-735-3036 | |
Mrs. Maron Elizabeth Barraclough, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 21 N Main St, Middleport, NY 14105 Phone: 716-735-7774 |