Larry B Mellick, MD in Augusta, GA

Larry B Mellick, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Augusta, Georgia. His current practice location is 1120 15th St, Augusta, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 721-4951.

Larry B Mellick is licensed to practice in Georgia (license number 042892) 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 1841309804.

Contact Information

	Larry B Mellick, MD
	1120 15th St, Augusta, GA 30912-0004
	(706) 721-4951
	(706) 721-7941

Map and Direction

Physician's Profile

Full Name	Larry B Mellick
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	1120 15th St, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841309804
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/31/2011

Medicare PECOS Information:

PECOS PAC ID: 9133279615
Enrollment ID: I20090603000383

Medical Identifiers

Medical identifiers for Larry B Mellick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841309804	NPI	-	NPPES
G60514	Medicaid	SC
000729319A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	042892 (Georgia)	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. Larry B Mellick allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Au Medical Associates Emergency Medicine Billing Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458

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. Larry B Mellick 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
Larry B Mellick, MD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-6410	Larry B Mellick, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-4951

Reviews and Comments

Pediatrics Doctors in Augusta, GA

Kenny Esho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 574-850-2999
Janelle Mcgill, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623
Kristen Beeler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437
Lorna Evorie Bell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941
Dr. William Weston Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 93 Bristlecone Ct., Augusta, GA 30909 Phone: 706-736-3704
Dr. Amanda Chaffin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9442
Aaron W Hanna, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1245 Augusta West Pkwy, Augusta, GA 30909 Phone: 706-868-0389 Fax: 706-651-0729

Larry B Mellick, MD - Medicare Pediatrics in Augusta, GA