| Melonie Renee Roberts, FNP-BC | |
|
290 Clift Ct, Hollister, MO 65672-5947 | |
| (417) 336-4355 | |
| Not Available |
| Full Name | Melonie Renee Roberts |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 290 Clift Ct, Hollister, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285902841 | NPI | - | NPPES |
| 05107335 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R874839 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2017013024 (Missouri) | Primary |
| Entity Name | Diamondhead Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659673606 PECOS PAC ID: 6305028051 Enrollment ID: O20110316000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Melonie Renee Roberts, FNP-BC 290 Clift Ct, Hollister, MO 65672-5947 Ph: (417) 336-4355 | Melonie Renee Roberts, FNP-BC 290 Clift Ct, Hollister, MO 65672-5947 Ph: (417) 336-4355 |
Michael John Munn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Gage Dr, Hollister, MO 65672 Phone: 417-334-8300 | |
Bryce Gabriel Burtless, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10998 Historic Highway 165, Hollister, MO 65672 Phone: 417-337-4198 | |
Mrs. Lindsi R Walker, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Gage Dr, Hollister, MO 65672 Phone: 417-831-0150 Fax: 580-323-2276 |