| Mrs Melissa Marie Black, FNP-C | |
|
450 E Main St, Rexburg, ID 83440-2048 | |
| (208) 359-9811 | |
| Not Available |
| Full Name | Mrs Melissa Marie Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 450 E Main St, Rexburg, Idaho |
| 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 |
|---|---|---|---|
| 1659077238 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madison Memorial Hospital | Rexburg, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madison Memorial Hospital | 4183949522 | 20 |
| 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 |
| Entity Name | Madison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346643038 PECOS PAC ID: 4183949522 Enrollment ID: O20150206000933 |
| 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 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 359-9811 |
Adriann J Wilcox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111 |
Bryce Campbell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 |
Garett Gayle Rumsey, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 72 S 1st E Ste 103, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-372-1023 |
Troy Hanson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-356-3691 |
Matthew Galland Silva, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 659 Laleene Dr, Rexburg, ID 83440 Phone: 909-358-5520 |
Annette Mary Tuft, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 N 2nd E, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780 |
Beyron Alexis Zecher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E Main St, Rexburg, ID 83440 Phone: 208-359-6900 |