Myllissa M Wyatt, NP in Salmon, ID - Medicare Nurse Practitioner

Myllissa M Wyatt, NP is a medicare enrolled "Nurse Practitioner - Family" in Salmon, Idaho. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Salmon River Clinic and her current practice location is 403 Riverfront Dr, Salmon, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 742-1110.

Myllissa M Wyatt is licensed to practice in Idaho (license number NP-1202A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730439266.

Contact Information

	Myllissa M Wyatt, NP
	403 Riverfront Dr, Salmon, ID 83467-5162
	(208) 742-1110
	(208) 742-1120

Map and Direction

Provider's Profile

Full Name	Myllissa M Wyatt
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	403 Riverfront Dr, Salmon, 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.

Medical Education and Training:

Myllissa M Wyatt graduated from nursing school in 2012

NPI Data:

NPI Number: 1730439266
Provider Enumeration Date: 09/12/2012
Last Update Date: 01/22/2025

Medicare PECOS Information:

PECOS PAC ID: 8729230503
Enrollment ID: I20121129000501

Medical Identifiers

Medical identifiers for Myllissa M Wyatt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730439266	NPI	-	NPPES
IDTPID011077	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP-1202A (Idaho)	Primary
363L00000X	Nurse Practitioner	1202A (Idaho)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Steele Memorial Medical Center	Salmon, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Salmon River Clinic	4587941620	3

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. Myllissa M Wyatt allows following entities to bill medicare on her behalf.

Entity Name	Salmon River Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104351972 PECOS PAC ID: 4587941620 Enrollment ID: O20170427001778

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. Myllissa M Wyatt 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
Myllissa M Wyatt, NP 403 Riverfront Dr, Salmon, ID 83467-5162 Ph: (208) 742-1110	Myllissa M Wyatt, NP 403 Riverfront Dr, Salmon, ID 83467-5162 Ph: (208) 742-1110

Reviews and Comments

Nurse Practitioner Nurses in Salmon, ID

Ms. Janet Merrell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1911 Main St, Salmon, ID 83467 Phone: 208-756-2211 Fax: 208-756-8700
Suzanne Nebeker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Main St, Salmon, ID 83467 Phone: 208-756-6212 Fax: 208-756-6336
Mrs. Monica Lena White, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 404 Courthouse Dr, Salmon, ID 83467 Phone: 208-993-3479
John Dustin Pena, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Riverfront Dr, Salmon, ID 83467 Phone: 208-742-1110 Fax: 208-742-1120

Myllissa M Wyatt, NP - Medicare Nurse Practitioner in Salmon, ID