Ms Melessa Jean Dillingham, ASW is a medicare enrolled "Social Worker - Clinical" provider in Santa Maria, California. Her current practice location is
212 Carmen Ln, Santa Maria, California. You can reach out to her office (for appointments etc.) via phone at
(805) 739-8700.
Ms Melessa Jean Dillingham is licensed to practice in California (license number 110351) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992341721.
Healthcare Provider's Profile
| Full Name | Ms Melessa Jean Dillingham |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 212 Carmen Ln, Santa Maria, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992341721
- Provider Enumeration Date: 11/27/2019
- Last Update Date: 09/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951714773
- Enrollment ID: I20210114002872
Medical Identifiers
Medical identifiers for Ms Melessa Jean Dillingham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992341721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW89821 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110351 (California) | 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. Ms Melessa Jean Dillingham allows following entities to bill medicare on her behalf.
| Entity Name | Santa Barbara County County Auditor |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487857405
PECOS PAC ID: 9335052083
Enrollment ID: O20081226000157 |
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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. Ms Melessa Jean Dillingham 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 |
|---|
Ms Melessa Jean Dillingham, ASW
4444 Calle Real,
Goleta, CA 93110-1002
Ph: (805) 884-1600 | Ms Melessa Jean Dillingham, ASW
212 Carmen Ln,
Santa Maria, CA 93458-7769
Ph: (805) 739-8700 |
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