Melanie Beth Semelka, DO - Medicare Pediatrics in Latrobe, PA

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Melanie Beth Semelka, DO is a medicare enrolled "Pediatrics" physician in Latrobe, Pennsylvania. Her current practice location is 5927 State Route 981, Suite 8, Latrobe, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 537-2131.

Melanie Beth Semelka is licensed to practice in Pennsylvania (license number OS 012454) 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 1174688543.

Contact Information

Melanie Beth Semelka, DO
5927 State Route 981, Suite 8,
Latrobe, PA 15650-2687
(724) 537-2131
Not Available

Map and Direction




Physician's Profile

Full NameMelanie Beth Semelka
GenderFemale
SpecialityPediatrics
Location5927 State Route 981, Latrobe, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174688543
  • Provider Enumeration Date: 12/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779928668
  • Enrollment ID: I20240301001073

Medical Identifiers

Medical identifiers for Melanie Beth Semelka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174688543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics OS 012454 (Pennsylvania)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. Melanie Beth Semelka allows following entities to bill medicare on her behalf.
Entity NameExcela Health Physician Practices, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821225202
PECOS PAC ID: 6204737117
Enrollment ID: O20040322001393

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. Melanie Beth Semelka 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 AddressPractice Location Address
Melanie Beth Semelka, DO
5927 State Route 981, Suite 8,
Latrobe, PA 15650-2687

Ph: (724) 537-2131		Melanie Beth Semelka, DO
5927 State Route 981, Suite 8,
Latrobe, PA 15650-2687

Ph: (724) 537-2131

Reviews and Comments


Pediatrics Doctors in Latrobe, PA

Kali Theis, DO
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Medicare: Medicare Enrolled
Practice Location: 100 Excela Health Dr Ste 301, Latrobe, PA 15650
Phone: 724-537-1480    Fax: 724-539-6353
Dr. David A Wyszomierski, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 210 Weldon St, Latrobe, PA 15650
Phone: 724-539-3535    Fax: 724-532-0610
Dr. Christine Lee Cheng-florendo, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 108 Horner Ln, Latrobe, PA 15650
Phone: 724-537-2131    Fax: 724-537-2153
Dr. Kathleen F Catalano, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 210 Weldon St, Latrobe, PA 15650
Phone: 724-539-3535    Fax: 724-532-0610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.