| Melissa Marie Gonzalez, | |
|
9139 Broadway Ave, Brookfield, IL 60513-1303 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Melissa Marie Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 9139 Broadway Ave, Brookfield, Illinois |
| 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 |
|---|---|---|---|
| 1518667195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209026790 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Video Virtual Care North Llc | 1254762297 | 17 |
| Minuteclinic Diagnostic Of Illinois Pllc | 8729171566 | 107 |
| Entity Name | Minuteclinic Diagnostic Of Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
| Entity Name | Minuteclinic Video Virtual Care North Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518512227 PECOS PAC ID: 1254762297 Enrollment ID: O20200620000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Marie Gonzalez, 7575 Churchill Dr, Hanover Park, IL 60133-2606 Ph: (773) 405-9946 | Melissa Marie Gonzalez, 9139 Broadway Ave, Brookfield, IL 60513-1303 Ph: (866) 389-2727 |
Michael Fressola, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3623 S. Forest Avenue, Brookfield, IL 60513 Phone: 708-485-9219 Fax: 708-485-2300 | |
Mrs. Romy A Modi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9139 Broadway Ave, Brookfield, IL 60513 Phone: 708-387-9982 | |
Allison N Ramsey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9139 Broadway Ave, Brookfield, IL 60513 Phone: 708-387-9982 | |
Chennel E Dorneker, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4034 Grove Ave Apt 1, Brookfield, IL 60513 Phone: 630-885-0497 | |
Catherine Frances Smith, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4329 Arthur Ave, Brookfield, IL 60513 Phone: 630-209-0209 Fax: 888-607-8001 | |
Megan C Styx, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3236 Park Ave, Brookfield, IL 60513 Phone: 708-369-6360 |