Melissa Boucher Dennison, MD in Glasgow, KY

Melissa Boucher Dennison, MD is a medicare enrolled "Pediatrics" physician in Glasgow, Kentucky. Her current practice location is 301 Professional Park Dr, Glasgow, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 651-9696.

Melissa Boucher Dennison is licensed to practice in Kentucky (license number KY28593) 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 1659354892.

Contact Information

	Melissa Boucher Dennison, MD
	301 Professional Park Dr, Glasgow, KY 42141-3487
	(270) 651-9696
	(270) 651-0385

Map and Direction

Physician's Profile

Full Name	Melissa Boucher Dennison
Gender	Female
Speciality	Pediatrics
Location	301 Professional Park Dr, Glasgow, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659354892
Provider Enumeration Date: 11/22/2005
Last Update Date: 05/05/2014

Medicare PECOS Information:

PECOS PAC ID: 5597890178
Enrollment ID: I20130627000112

Medical Identifiers

Medical identifiers for Melissa Boucher Dennison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659354892	NPI	-	NPPES
64285935	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	KY28593 (Kentucky)	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 Boucher Dennison allows following entities to bill medicare on her behalf.

Entity Name	Cumberland Family Medical Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433

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 Boucher Dennison 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 Boucher Dennison, MD Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 864-1472	Melissa Boucher Dennison, MD 301 Professional Park Dr, Glasgow, KY 42141-3487 Ph: (270) 651-9696

Reviews and Comments

Pediatrics Doctors in Glasgow, KY

Jennifer Wright Hopkins, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-8666
Leticia Bravo, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 N Race St, Glasgow, KY 42141 Phone: 270-651-9755 Fax: 270-651-7562
Dr. Alison S Campbell, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 270-651-1111 Fax: 270-659-5852
Laura Elizabeth Brooks, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 310 N L Rogers Wells Blvd, Glasgow, KY 42141 Phone: 502-651-1111
Hazel Lynnette Brooks, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park Dr, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-0385
Donna Michelle Warren, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 Professional Park, Glasgow, KY 42141 Phone: 270-651-9696 Fax: 270-651-0385

Melissa Boucher Dennison, MD - Medicare Pediatrics in Glasgow, KY