Melissa S Vansickle, MD is a medicare enrolled "Family Medicine" physician in Onsted, Michigan. Her current practice location is
8958 M 50, Onsted, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 467-4424.
Melissa S Vansickle is licensed to practice in Michigan (license number 4301072779) 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 1528060266.
Physician's Profile
| Full Name | Melissa S Vansickle |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 8958 M 50, Onsted, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528060266
- Provider Enumeration Date: 08/12/2005
- Last Update Date: 12/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204884224
- Enrollment ID: I20050106000538
Medical Identifiers
Medical identifiers for Melissa S Vansickle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528060266 | NPI | - | NPPES |
| 7511313 | Other | MI | AETNA |
| 080195092 | Other | MI | RRMC |
| 132883 | Other | MI | PREFERRED CHOICES |
| 132883 | Other | MI | CARE CHOICES |
| 102735 | Other | MI | GLHP |
| 000000357790 | Other | MI | ANTHEM |
| 0804601952 | Other | MI | BCBS MI |
| 16289 | Other | MI | HPM |
| 4494698 | Medicaid | MI | |
| 04048 | Other | MI | PHC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 042.0014135 (Vermont) | Secondary |
| 207Q00000X | Family Medicine | MD22034 (Maine) | Secondary |
| 207Q00000X | Family Medicine | C1-0012671 (Delaware) | Secondary |
| 207Q00000X | Family Medicine | 60229 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | D85135 (Maryland) | Secondary |
| 207Q00000X | Family Medicine | 292455 (New York) | Secondary |
| 207Q00000X | Family Medicine | 25MA10290400 (New Jersey) | Secondary |
| 207Q00000X | Family Medicine | MD463524 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 01080001A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | MD16129 (Rhode Island) | Secondary |
| 207Q00000X | Family Medicine | 274796 (Massachusetts) | Secondary |
| 207Q00000X | Family Medicine | 4301072779 (Michigan) | 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 S Vansickle allows following entities to bill medicare on her behalf.
| Entity Name | W.a. Foote Memorial Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760437826
PECOS PAC ID: 0244136067
Enrollment ID: O20031212000691 |
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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 S Vansickle 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 S Vansickle, MD
Po Box 67000, Department 272801,
Detroit, MI 48267-0002
Ph: (517) 467-4424 | Melissa S Vansickle, MD
8958 M 50,
Onsted, MI 49265-9461
Ph: (517) 467-4424 |
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