| Mrs Melodie Richards, | |
| 12620 133rd Ave, South Ozone Park, NY 11420-3310 | |
| (917) 535-7157 | |
| Not Available | 
| Full Name | Mrs Melodie Richards | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Adult Health | 
| Location | 12620 133rd Ave, South Ozone Park, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861952228 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 308785 (New York) | Primary | 
| Entity Name | Enterprise Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1497119655 PECOS PAC ID: 3678863867 Enrollment ID: O20160531001507 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Melodie Richards, 12620 133rd Ave, South Ozone Park, NY 11420-3310 Ph: () - | Mrs Melodie Richards, 12620 133rd Ave, South Ozone Park, NY 11420-3310 Ph: (917) 535-7157 | 
| Alice Garcia, NP PROVIDER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13234 114th Pl, South Ozone Park, NY 11420 Phone: 347-863-7731 | |
| Levinia Melaram,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12234 149th Ave Fl 2, South Ozone Park, NY 11420 Phone: 646-330-9040 | |
| Angela Grigg Beeson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12948 133rd St, South Ozone Park, NY 11420 Phone: 718-322-4485 | |
| Natisha Brooks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12804 Hawtree Creek Rd, South Ozone Park, NY 11420 Phone: 516-384-9980 | |
| Kamla Marriott, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11414 133rd St, South Ozone Park, NY 11420 Phone: 347-723-3441 | |
| Kayanna Jonas,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10819 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 718-845-2620 | |
| Ms. Trina Binta Bascom,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11207 Rockaway Blvd, South Ozone Park, NY 11420 Phone: 917-361-4502 |