Melinda Mae Mantooth, DO in Mount Vernon, WA

Melinda Mae Mantooth, DO is a medicare enrolled "Hospitalist" physician in Mount Vernon, Washington. Her current practice location is 1415 E Kincaid St, Mount Vernon, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 814-2115.

Melinda Mae Mantooth is licensed to practice in Oregon (license number DO217033) 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 1639708175.

Contact Information

	Melinda Mae Mantooth, DO
	1415 E Kincaid St, Mount Vernon, WA 98274-4126
	(360) 814-2115
	(360) 428-2215

Map and Direction

Physician's Profile

Full Name	Melinda Mae Mantooth
Gender	Female
Speciality	Hospitalist
Location	1415 E Kincaid St, Mount Vernon, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639708175
Provider Enumeration Date: 04/06/2020
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 3476972381
Enrollment ID: I20230918002159

Medical Identifiers

Medical identifiers for Melinda Mae Mantooth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639708175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	OP61477654 (Washington)	Secondary
208M00000X	Hospitalist	DO217033 (Oregon)	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. Melinda Mae Mantooth allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

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. Melinda Mae Mantooth 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
Melinda Mae Mantooth, DO 1415 E Kincaid St, Mount Vernon, WA 98274-4126 Ph: (360) 814-2115	Melinda Mae Mantooth, DO 1415 E Kincaid St, Mount Vernon, WA 98274-4126 Ph: (360) 814-2115

Reviews and Comments

Hospitalist Doctors in Mount Vernon, WA

Bonita K. Baker, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1415 E. Kincaid Street, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758
D. Geoffrey Spielmann, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1415 E. Kincaid St., Skagit Valley Hospital, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-4758
Malik F. Fuimaono, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1415 E. Kincaid Street, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758
Assem Botros Sherkawy, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1415 E Kincaid St, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758
Dr. Thomas V George, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1415 E. Kincaid Street, Mount Vernon, WA 98274 Phone: 360-416-5750 Fax: 360-416-5758

Melinda Mae Mantooth, DO - Medicare Hospitalist in Mount Vernon, WA