Melissa L Pabalan, MD - Medicare Hospitalist in Durham, NC

Melissa L Pabalan, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in Durham, North Carolina. She went to University Of Pittsburgh School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice Unc Physicians And Associates and her current practice location is 3643 N Roxboro St, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 684-8111.

Melissa L Pabalan is licensed to practice in North Carolina (license number 2012-01390) 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 1457513137.

Contact Information

Melissa L Pabalan, MD
3643 N Roxboro St,
Durham, NC 27704-2702
(919) 684-8111
Not Available

Map and Direction




Physician's Profile

Full NameMelissa L Pabalan
GenderFemale
SpecialityHospitalist
Experience16 Years
Location3643 N Roxboro St, Durham, North Carolina
Accepts Medicare AssignmentsYes. 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 L Pabalan attended and graduated from University Of Pittsburgh School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1457513137
  • Provider Enumeration Date: 06/25/2008
  • Last Update Date: 08/17/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4385813237
  • Enrollment ID: I20120813000519

Medical Identifiers

Medical identifiers for Melissa L Pabalan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457513137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine LP01358 (Rhode Island)Secondary
207KA0200XAllergy & Immunology - Allergy 2012-01390 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of North Carolina HospitalChapel hill, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Unc Physicians And Associates06481811561736

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 L Pabalan allows following entities to bill medicare on her behalf.
Entity NameUniversity Of North Carolina At Chapel Hill
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780669200
PECOS PAC ID: 0648181156
Enrollment ID: O20031105000359

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 L Pabalan 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 L Pabalan, MD
5213 S Alston Ave,
Durham, NC 27713-4430

Ph: (401) 737-7010
Melissa L Pabalan, MD
3643 N Roxboro St,
Durham, NC 27704-2702

Ph: (919) 684-8111

Reviews and Comments


Allergy & Immunology Doctors in Durham, NC

Dr. Sarah Ruth Johnson, MD
Allergy & Immunology
Medicare: Medicare Enrolled
Practice Location: 1821 Hillandale Rd Ste 25a, Durham, NC 27705
Phone: 919-620-7300    
Mary Markert, M.D.
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
Cristine Radojicic, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 234 Crooked Creek Pkwy Ste 400, Durham, NC 27713
Phone: 919-385-3000    Fax: 919-576-8822
Laurie Lee, M.D.
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
Debra Sedlak,
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Erwin Rd, Durham, NC 27710
Phone: 919-620-4467    
John Sundy, M.D.
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 4101 N Roxboro St, Durham, NC 27704
Phone: 919-684-8111    
Dr. Lorena Rocha Wilson, M.D.
Allergy & Immunology
Medicare: Not Enrolled in Medicare
Practice Location: 19 Sangre De Cristo Dr, Durham, NC 27705
Phone: 770-653-3691    

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.