Dr Douglas Neal Mellinger, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Saint Cloud, Minnesota. He went to University Of New England, College Of Osteo Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Centracare Clinic and his current practice location is
1200 6th Ave N, Saint Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 656-7020.
Dr Douglas Neal Mellinger is licensed to practice in Minnesota (license number 68816) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124131073.
Physician's Profile
| Full Name | Dr Douglas Neal Mellinger |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 27 Years |
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| Location | 1200 6th Ave N, Saint Cloud, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Douglas Neal Mellinger attended and graduated from University Of New England, College Of Osteo Medicine in 1997
NPI Data:
- NPI Number: 1124131073
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 03/26/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911943865
- Enrollment ID: I20210323000879
Medical Identifiers
Medical identifiers for Dr Douglas Neal Mellinger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124131073 | NPI | - | NPPES |
| 00AX83960 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 68816 (Minnesota) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 20A8396 (California) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centracare Clinic | 2466363395 | 632 |
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. Dr Douglas Neal Mellinger allows following entities to bill medicare on his behalf.
| Entity Name | Centracare Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
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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. Dr Douglas Neal Mellinger 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 |
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Dr Douglas Neal Mellinger, DO
1200 6th Ave N,
Saint Cloud, MN 56303-2736
Ph: (320) 656-7020 | Dr Douglas Neal Mellinger, DO
1200 6th Ave N,
Saint Cloud, MN 56303-2736
Ph: (320) 656-7020 |
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