Melissa Nicole Keene, M.D.
Individual provider Active NPI Internal Medicine Physician · Jonesville, VA
NPI 1295943876 · NPPES record last updated Jan 19, 2016
Key facts
- NPI
- 1295943876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 50386 (TN)
- Practice address
- 276 Fieldstone Dr
Jonesville, VA 24263-1215 - Phone
- (276) 546-5310
- Fax
- (276) 546-5469
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Charles Health Council Inc
Practice addresses (Care Compare)
162 Medical Ctr Blvd
Haysi, VA 24256-0653
Phone (276) 865-5121
276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-3001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100729000077 | VA | Practitioner - Internal Medicine |
3577615764 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50386 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buchanan Health Care LLC | Current |
Accepting new patients | |
| St Charles Health Council Inc | Internal Medicine | Current |
Accepting new patients |
| St Charles Health Council Inc | Current |
Accepting new patients | |
| Buchanan General Hospital Inc | Current |
Accepting new patients | |
| Buchanan General Hospital Inc | Current |
Accepting new patients | |
| St. Charles Health Council Inc | Current | Accepting new patients | |
| Commonwealth Internal Medicine and Pediatrics | Internal Medicine | Past |
Accepting new patients |
Locations
1532 Slate Creek Rd
#204
Grundy, VA 24614
Phone (276) 935-1167
1532 Slate Creek Rd
Ste 106
Grundy, VA 24614
Phone (276) 935-1592
1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125
276 Fieldstone Dr
Jonesville, VA 24263
Phone (276) 546-3001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 50386 | TN | |
| Internal Medicine Physician | 207R00000X | 50386 | TN | Yes |
Addresses
Primary practice location
276 Fieldstone Dr
Jonesville, VA 24263-1215
Mailing address
276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-5310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q010797 | Medicaid | TN |
Other providers in Jonesville, VA
- Susan Marie Holte
- Amy Sue Jones
- Thomas Randolph Jones
- Jonesville Drug Company Inc.
- Jonesville Rescue Squad Inc
- Katina Kelly
- Stuart Laningham
- Allison Lawson
- Savannah Nashay Lebarre
- Lee County Dental Clinic
All providers in Jonesville, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.