Ms Kassandra Alysabeth Mellott, PA-C is a medicare enrolled "Physician Assistant" physician in Clarinda, Iowa. She went to University Of Nebraska College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Clarinda Regional Health Center and her current practice location is
220 Essie Davison Dr, Clarinda, Iowa. You can reach out to her office (for appointments etc.) via phone at
(712) 542-2176.
Ms Kassandra Alysabeth Mellott is licensed to practice in Nebraska (license number 2237) 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 1528505070.
Physician's Profile
| Full Name | Ms Kassandra Alysabeth Mellott |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 220 Essie Davison Dr, Clarinda, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kassandra Alysabeth Mellott attended and graduated from University Of Nebraska College Of Medicine in 2016
NPI Data:
- NPI Number: 1528505070
- Provider Enumeration Date: 01/23/2017
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880978162
- Enrollment ID: I20170306001068
Medical Identifiers
Medical identifiers for Ms Kassandra Alysabeth Mellott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528505070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 2237 (Nebraska) | Secondary |
| 363A00000X | Physician Assistant | 085452 (Iowa) | Secondary |
| 363A00000X | Physician Assistant | 2237 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clarinda Regional Health Center | 4587573993 | 29 |
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. Ms Kassandra Alysabeth Mellott 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 |
|---|
Ms Kassandra Alysabeth Mellott, PA-C
Po Box 217,
Clarinda, IA 51632-0217
Ph: (712) 542-2176 | Ms Kassandra Alysabeth Mellott, PA-C
220 Essie Davison Dr,
Clarinda, IA 51632-2915
Ph: (712) 542-2176 |
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