| Mrs Melissa D Merrill, CNM, WHNP | |
|
132 5th Ave W, Jerome, ID 83338-1825 | |
| (208) 324-5286 | |
| (208) 324-9815 |
| Full Name | Mrs Melissa D Merrill |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 132 5th Ave W, Jerome, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043459696 | NPI | - | NPPES |
| 000010171795 | Other | ID | BS |
| 808284700 | Medicaid | ID | |
| NP311 | Other | ID | BC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 19862A (Idaho) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | NP1172A (Idaho) | Primary |
| Entity Name | St Lukes Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa D Merrill, CNM, WHNP 132 5th Ave W, Jerome, ID 83338-1825 Ph: (208) 324-5286 | Mrs Melissa D Merrill, CNM, WHNP 132 5th Ave W, Jerome, ID 83338-1825 Ph: (208) 324-5286 |
Tara Jaye Hoskovec, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 239 Honeysuckle Ln, Jerome, ID 83338 Phone: 208-308-3758 | |
Toni R Miller, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 218 W Nez Perce, Jerome, ID 83338 Phone: 208-324-3471 Fax: 208-324-9191 | |
Alice R. Trabert, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 132 5th Ave W, Suite 1, Jerome, ID 83338 Phone: 208-814-9800 Fax: 208-814-9833 | |
Anne B Fullmer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 709 N Lincoln Ave, Jerome, ID 83338 Phone: 208-814-9772 | |
Robin Louise Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 5th Ave W Ste 1and2, Jerome, ID 83338 Phone: 208-814-9800 | |
Jennifer Parsons, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1410 S Lincoln Ave Ste G, Jerome, ID 83338 Phone: 208-886-0081 Fax: 208-203-9062 |