Melissa Ann Stults, DO in San Juan Capistrano, CA

Melissa Ann Stults, DO is a medicare enrolled "Family Medicine" physician in San Juan Capistrano, California. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 30400 Camino Capistrano, San Juan Capistrano, California. You can reach out to her office (for appointments etc.) via phone at (888) 988-2800.

Melissa Ann Stults is licensed to practice in California (license number 20A12947) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871636639.

Contact Information

	Melissa Ann Stults, DO
	30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300
	(888) 988-2800
	Not Available

Map and Direction

Physician's Profile

Full Name	Melissa Ann Stults
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	30400 Camino Capistrano, San Juan Capistrano, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Melissa Ann Stults attended and graduated from Michigan State University College Of Osteopathic Medicine in 1998

NPI Data:

NPI Number: 1871636639
Provider Enumeration Date: 02/14/2007
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 6103975081
Enrollment ID: I20131206000403

Medical Identifiers

Medical identifiers for Melissa Ann Stults such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871636639	NPI	-	NPPES
04527777	Other		BCBS
1871636639	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101013955 (Michigan)	Secondary
207Q00000X	Family Medicine	036-104526 (Illinois)	Secondary
207Q00000X	Family Medicine	20A12947 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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 Stults allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Stults 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 Stults, DO 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 Ph: (888) 988-2800	Melissa Ann Stults, DO 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 Ph: (888) 988-2800

Reviews and Comments

Family Medicine Doctors in San Juan Capistrano, CA

Dr. Maricel V Sabado, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30300 Rancho Viejo Rd, San Juan Capistrano, CA 92675 Phone: 949-661-9600 Fax: 949-443-6200
Martha Patricia Lall, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30300 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 949-240-2272
Dr. Olina Ellen Harwer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 32241 Camino Capistrano Ste A105, San Juan Capistrano, CA 92675 Phone: 949-661-6555 Fax: 949-661-8269
Dr. Mimi Trinh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31001 Rancho Viejo Rd, Suite 200, San Juan Capistrano, CA 92675 Phone: 949-661-9611 Fax: 949-443-6200
Dr. Sergio Ulises Rodas, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 30300 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 949-240-2030 Fax: 949-240-5869
Steven Stappaerts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 30400 Camino Capistrano, San Juan Capistrano, CA 92675 Phone: 888-988-2800
Alina Shrestha, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 31001 Rancho Viejo Rd Ste 200, San Juan Capistrano, CA 92675 Phone: 949-661-9600

Melissa Ann Stults, DO - Medicare Family Practice in San Juan Capistrano, CA