Mrs Tabatha Melcolm, LMHC in Middleburg, FL - Medicare Counselor Provider

Mrs Tabatha Melcolm, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Middleburg, Florida. Her current practice location is 4110 Osceola Trl, Middleburg, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 502-9883.

Mrs Tabatha Melcolm is licensed to practice in Florida (license number MH16497) 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 1063922276.

Contact Information

	Mrs Tabatha Melcolm, LMHC
	4110 Osceola Trl, Middleburg, FL 32068-7149
	(904) 502-9883
	(904) 490-9037

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tabatha Melcolm
Gender	Female
Speciality	Counselor - Mental Health
Location	4110 Osceola Trl, Middleburg, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063922276
Provider Enumeration Date: 10/03/2017
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7214374230
Enrollment ID: I20240326001102

Medical Identifiers

Medical identifiers for Mrs Tabatha Melcolm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063922276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH16497 (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. Mrs Tabatha Melcolm allows following entities to bill medicare on her behalf.

Entity Name	Melcolm Mental Health Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396509865 PECOS PAC ID: 6406293422 Enrollment ID: O20240326000926

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. Mrs Tabatha Melcolm 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
Mrs Tabatha Melcolm, LMHC 4110 Osceola Trl, Middleburg, FL 32068-7149 Ph: (904) 502-9883	Mrs Tabatha Melcolm, LMHC 4110 Osceola Trl, Middleburg, FL 32068-7149 Ph: (904) 502-9883

Reviews and Comments

Counselor in Middleburg, FL

Marilyn A Jones, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561
Mr. David W Westcott, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575
Briana Little, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3102 Carlotta Rd, Middleburg, FL 32068 Phone: 904-864-5165
Clanailya Henry, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 Fax: 904-291-5575
Michelle Nicole Fiallo, LMHC, CCTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-728-2578
Yolanda Planas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561

Mrs Tabatha Melcolm, LMHC - Medicare Counselor in Middleburg, FL