Paul F Mellen, MD | |
2401 W. University Avenue, Muncie, IN 47303 | |
(765) 747-3201 | |
(765) 741-2905 |
Full Name | Paul F Mellen |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 40 Years |
Location | 2401 W. University Avenue, Muncie, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538266093 | NPI | - | NPPES |
000000258476 | Other | IN | BLUE CROSS & BLUE SHIELD |
200414980 | Medicaid | IN | |
000000024629 | Other | IN | M-PLAN |
2099554 | Medicaid | OH | |
020434700 | Other | BLACK LUNG | |
6470 | Other | IN | PHYSICIAN HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZF0201X | Pathology - Forensic Pathology | 01056925A (Indiana) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01056925A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Medical Pc | 3375701568 | 5120 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Paul F Mellen, MD Po Box 30309, Charleston, SC 29417-0309 Ph: (843) 554-9300 | Paul F Mellen, MD 2401 W. University Avenue, Muncie, IN 47303 Ph: (765) 747-3201 |
Dr. R. Scott Hubbard, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3517 | |
Dr. James R Baldwin, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-751-5243 Fax: 765-741-2905 | |
Michael Robert Steckbauer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3089 | |
Susan L Allen, D.O. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3260 | |
Tarik M Elsheikh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-3134 Fax: 765-741-2905 | |
Danyel Kay Wilson, MA, CCC-SLP Pathology Medicare: Medicare Enrolled Practice Location: 4870 E Jackson St, Muncie, IN 47303 Phone: 765-254-9717 | |
Janet E Roepke, M.D., PH.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 2401 W University Ave, Muncie, IN 47303 Phone: 765-747-1321 |