Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
profile image
Primary Practice Address
966 BARTLEY ST
JASPER, IN 47546-2641 US
PECOS Enrolled

Melisa Noa De La Paz

Student


Overview

Melisa Noa De La Paz is a Student in the JASPER area. Melisa Noa De La Paz primary office location is at 966 BARTLEY ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1003499617 and the information was updated approximately 3 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
966 BARTLEY ST
JASPER, IN 47546-2641 US
Phone: (812)-996-5425
Fax:
Practice Mailing Information
966 BARTLEY ST
JASPER, IN 47546-2641 US
Phone: (812)-996-5425
Fax:
License NumberState
11023042AIN

No Identifiers found

TaxonomyStatePrimary?
Student - Taxonomy Code 390200000X INY

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes