| Melissa Blair Keller, APN | |
|
245 Madison St, Clarendon, AR 72029-2706 | |
| (870) 747-3381 | |
| (870) 747-3631 |
| Full Name | Melissa Blair Keller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 245 Madison St, Clarendon, 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 |
|---|---|---|---|
| 1972988723 | NPI | - | NPPES |
| 209701758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004474 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-delta Health Systems Inc | 3870574668 | 10 |
| Entity Name | Mid-delta Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255346060 PECOS PAC ID: 3870574668 Enrollment ID: O20040527000492 |
| Entity Name | Stuttgart Medical Clinic, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861518698 PECOS PAC ID: 8123176658 Enrollment ID: O20090511000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Blair Keller, APN 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 | Melissa Blair Keller, APN 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 |
Leigh Ann Guest, APN, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 | |
Mrs. Marla Henry, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Midland St, Clarendon, AR 72029 Phone: 870-747-3381 | |
Ashlee Vanhouten, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 245 Madison St, Clarendon, AR 72029 Phone: 870-747-3381 Fax: 870-747-3631 |