Melissa Ann Kunkel, MD is a medicare enrolled "Pediatrics" physician in Moorhead, Minnesota. Her current practice location is
4000 28th Ave S, Moorhead, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(701) 234-3200.
Melissa Ann Kunkel is licensed to practice in North Dakota (license number 11902) 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 1336334606.
Physician's Profile
Full Name | Melissa Ann Kunkel |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 4000 28th Ave S, Moorhead, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336334606
- Provider Enumeration Date: 09/10/2007
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 9436320793
- Enrollment ID: I20110915000894
Medical Identifiers
Medical identifiers for Melissa Ann Kunkel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336334606 | NPI | - | NPPES |
16227 | Medicaid | ND | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | PT11902 (North Dakota) | Secondary |
208000000X | Pediatrics | 53062 (Minnesota) | Secondary |
208000000X | Pediatrics | 11902 (North Dakota) | 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. Melissa Ann Kunkel allows following entities to bill medicare on her behalf.
Entity Name | Sanford Bismarck |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
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Entity Name | Sanford Clinic North |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221 |
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Entity Name | Sanford Medical Center Fargo |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
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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. Melissa Ann Kunkel 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 |
Melissa Ann Kunkel, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Melissa Ann Kunkel, MD 4000 28th Ave S, Moorhead, MN 56560-7926 Ph: (701) 234-3200 |
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