| Melyssa Gayle Wiggins, FNP | |
|
208 S Washington St, Mc Leansboro, IL 62859-1139 | |
| (618) 643-2835 | |
| (618) 643-2891 |
| Full Name | Melyssa Gayle Wiggins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 208 S Washington St, Mc Leansboro, 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 |
|---|---|---|---|
| 1245798347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.018935 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ferrell Hospital Community Foundations | Eldorado, IL | Hospital |
| Hamilton Memorial Hospital | Mcleansboro, IL | Hospital |
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ferrell Hospital Community Foundation | 1355389453 | 57 |
| Entity Name | Ferrell Hospital Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194713404 PECOS PAC ID: 1355389453 Enrollment ID: O20090630000256 |
| Mailing Address | Practice Location Address |
|---|---|
| Melyssa Gayle Wiggins, FNP 11489 State Route 14, Mc Leansboro, IL 62859-2195 Ph: (618) 925-0417 | Melyssa Gayle Wiggins, FNP 208 S Washington St, Mc Leansboro, IL 62859-1139 Ph: (618) 643-2835 |
Jaydra Woods, APN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 429, Mc Leansboro, IL 62859 Phone: 618-643-2361 Fax: 618-643-2502 | |
Morgan Warren, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-643-2361 | |
Mr. Wesley J Henson, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-252-8625 Fax: 618-252-2540 | |
Mike S Davenport, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 S Washington St, Mc Leansboro, IL 62859 Phone: 618-643-2835 Fax: 618-643-2891 | |
Mrs. Rene L Bernard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 E Market St, Mc Leansboro, IL 62859 Phone: 618-643-3051 Fax: 618-643-3164 | |
Heather Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-643-2361 |