Mrs Melissa Marie Black, FNP-C in Rexburg, ID

Mrs Melissa Marie Black, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rexburg, Idaho. Her current practice location is 37 S 2nd E, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 356-0234.

Mrs Melissa Marie Black is licensed to practice in Idaho (license number 59333) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659077238.

Contact Information

	Mrs Melissa Marie Black, FNP-C
	37 S 2nd E, Rexburg, ID 83440-1906
	(208) 356-0234
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Melissa Marie Black
Gender	Female
Speciality	Nurse Practitioner - Family
Location	37 S 2nd E, Rexburg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659077238
Provider Enumeration Date: 02/06/2023
Last Update Date: 02/06/2023

Medicare PECOS Information:

PECOS PAC ID: 2961862735
Enrollment ID: I20230712003238

Medical Identifiers

Medical identifiers for Mrs Melissa Marie Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659077238	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	59333 (Idaho)	Secondary
363LF0000X	Nurse Practitioner - Family	59333 (Idaho)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Melissa Marie Black allows following entities to bill medicare on her behalf.

Entity Name	Madison Co Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134592017 PECOS PAC ID: 8123016367 Enrollment ID: O20040505000664

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Melissa Marie Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Melissa Marie Black, FNP-C 330 Circle Dr, Rigby, ID 83442-1375 Ph: (916) 204-7056	Mrs Melissa Marie Black, FNP-C 37 S 2nd E, Rexburg, ID 83440-1906 Ph: (208) 356-0234

Reviews and Comments

Nurse Practitioner Nurses in Rexburg, ID

Bryce Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900
Troy Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691
Annette Mary Tuft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 859 S Yellowstone Hwy Ste 3201, Rexburg, ID 83440 Phone: 208-359-2101 Fax: 208-356-8860
Beyron Alexis Zecher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900
Nichole Ann Jeppesen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Madison Professional Park, Rexburg, ID 83440 Phone: 208-656-9467 Fax: 208-656-9466
Mr. Jeremiah Robins Clark, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Pioneer Rd Apt 1320, Rexburg, ID 83440 Phone: 269-428-7228
Arleigh Nash, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-359-1600

Mrs Melissa Marie Black, FNP-C - Medicare Nurse Practitioner in Rexburg, ID