Mr Marc Edward Melliza, MA CCC-A is a medicare enrolled "Audiologist" provider in Dunedin, Florida. His current practice location is
646 Virginia Street, 3rd Floor, Dunedin, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 450-0560.
Mr Marc Edward Melliza is licensed to practice in Florida (license number AY823) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255471611.
Healthcare Provider's Profile
Full Name | Mr Marc Edward Melliza |
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Gender | Male |
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Speciality | Audiologist |
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Location | 646 Virginia Street, Dunedin, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255471611
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 03/09/2017
Medicare PECOS Information:
- PECOS PAC ID: 3971768847
- Enrollment ID: I20120626000619
Medical Identifiers
Medical identifiers for Mr Marc Edward Melliza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255471611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | AY823 (Florida) | Primary |
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. Mr Marc Edward Melliza allows following entities to bill medicare on his behalf.
Provider Name | West Coast Ear, Nose & Throat, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1346229440 PECOS PAC ID: 0941260103 Enrollment ID: O20041013000380 |
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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. Mr Marc Edward Melliza 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 |
Mr Marc Edward Melliza, MA CCC-A 646 Virginia Street, 3rd Floor, Dunedin, FL 34698 Ph: (727) 450-0560 | Mr Marc Edward Melliza, MA CCC-A 646 Virginia Street, 3rd Floor, Dunedin, FL 34698 Ph: (727) 450-0560 |
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