Melissa Dawn Slack, APRN - Medicare Family Medicine in Brookville, OH

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Melissa Dawn Slack, APRN is a medicare enrolled "Family Medicine" physician in Brookville, Ohio. Her current practice location is 12134 Old Dayton Rd, Brookville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 416-8874.

Melissa Dawn Slack is licensed to practice in Ohio (license number CNP.0029805) 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 1265103261.

Contact Information

Melissa Dawn Slack, APRN
12134 Old Dayton Rd,
Brookville, OH 45309-8361
(937) 416-8874
Not Available

Map and Direction




Physician's Profile

Full NameMelissa Dawn Slack
GenderFemale
SpecialityFamily Medicine
Location12134 Old Dayton Rd, Brookville, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265103261
  • Provider Enumeration Date: 09/21/2021
  • Last Update Date: 09/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7810884764
  • Enrollment ID: I20211206001404

Medical Identifiers

Medical identifiers for Melissa Dawn Slack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265103261NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine CNP.0029805 (Ohio)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 Dawn Slack allows following entities to bill medicare on her behalf.
Entity NameHealogics Specialty Physicians Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430491
PECOS PAC ID: 1759607229
Enrollment ID: O20150226002009
Entity NameMolina Care Connections Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180220001792

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 Dawn Slack 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
Melissa Dawn Slack, APRN
12134 Old Dayton Rd,
Brookville, OH 45309-8361

Ph: (937) 416-8874		Melissa Dawn Slack, APRN
12134 Old Dayton Rd,
Brookville, OH 45309-8361

Ph: (937) 416-8874

Reviews and Comments


Family Medicine Doctors in Brookville, OH

Donald P. Wharton, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 950 Salem St, Brookville, OH 45309
Phone: 937-833-4581    Fax: 937-833-5359
Nafisa Islam, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 187 Bruns Dr, Brookville, OH 45309
Phone: 937-838-4928    
Salva Gracia Bernal Ahmed, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Salem St, Brookville, OH 45309
Phone: 937-833-2149    Fax: 937-833-5359
Dr. Jeffrey Bruce Studebaker, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 98 Mosier Pkwy, Brookville, OH 45309
Phone: 937-833-4103    Fax: 937-833-3147
Andrew Diller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 950 Salem St, Brookville, OH 45309
Phone: 937-833-4582    Fax: 937-833-5359

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.