| Ms Melissa Martin Byrd, CPCP | |
|
19283 Highway 59, Summerdale, AL 36580-3005 | |
| (251) 523-5437 | |
| (866) 628-7517 |
| Full Name | Ms Melissa Martin Byrd |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 19283 Highway 59, Summerdale, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609844562 | NPI | - | NPPES |
| 1275872780 | Other | FL | GROUP NPI |
| 1063439065 | Other | AL | NPI GROUP PAYEE NUMBER |
| 011846 | Other | AL | MEDICARE GROUP PAYEE NUMBER |
| 9200085 | Other | FL | PEDIATRIC NURSING LICENSE |
| 305877800 | Medicaid | FL | |
| 630000013 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 9200085 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 1-081366 (Alabama) | Primary |
| Entity Name | Childrens Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124541438 PECOS PAC ID: 9234405408 Enrollment ID: O20171017000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa Martin Byrd, CPCP 19283 Highway 59, Summerdale, AL 36580-3005 Ph: (251) 523-5437 | Ms Melissa Martin Byrd, CPCP 19283 Highway 59, Summerdale, AL 36580-3005 Ph: (251) 523-5437 |
Shannon Swiderski, MSN, CRNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19283 State Highway 59, Summerdale, AL 36580 Phone: 251-523-5437 Fax: 866-628-7517 | |
Jacqueline Claire Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19283 Highway 59, Summerdale, AL 36580 Phone: 251-523-5437 |