Dr Larry Dale Melton, MD is a
Emergency Medicine physician based in Crestwood, Kentucky. Dr Larry Dale Melton is licensed to practice in Kentucky (license number 25254) and his current practice location is 7712 Cambridge Ct, Crestwood, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 599-6341.
NPI number for Dr Larry Dale Melton is 1154976405 and his current mailing address is 7712 Cambridge Ct., Crestwood, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154976405.
Physician's Profile
| Full Name | Dr Larry Dale Melton |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 7712 Cambridge Ct, Crestwood, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154976405
- Provider Enumeration Date: 08/05/2019
- Last Update Date: 08/05/2019
Medical Identifiers
Medical identifiers for Dr Larry Dale Melton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154976405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 25254 (Kentucky) | Primary |
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 Larry Dale Melton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Larry Dale Melton, MD
7712 Cambridge Ct.,
Crestwood, KY 40014
Ph: (502) 599-6341 | Dr Larry Dale Melton, MD
7712 Cambridge Ct,
Crestwood, KY 40014-8932
Ph: (502) 599-6341 |
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