Stevens D Melton, MD is a medicare enrolled "Pediatrics" physician in Dyersburg, Tennessee. His current practice location is
1700 Woodlawn Ave, Dyersburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 287-4500.
Stevens D Melton is licensed to practice in Tennessee (license number MD014213) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629062203.
Physician's Profile
| Full Name | Stevens D Melton |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1700 Woodlawn Ave, Dyersburg, Tennessee |
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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: 1629062203
- Provider Enumeration Date: 09/09/2005
- Last Update Date: 01/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 0244127900
- Enrollment ID: I20040228000201
Medical Identifiers
Medical identifiers for Stevens D Melton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629062203 | NPI | - | NPPES |
| 3015669 | Medicaid | TN | |
| 0052428 | Other | | BLUE CROSS |
| 8203648 | Other | | CIGNA |
| 7161 | Other | | TLC (MEMPHIS MANAGED CARE |
| 116249 | Other | | BETTER HEALTH PLAN |
| 1240124 | Other | | UNITED HEALTH CARE |
| 4176802 | Other | TN | BCBS |
| 370008023 | Other | | PALMETTO GBA |
| 4673227 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MD014213 (Tennessee) | Primary |
| 207Q00000X | Family Medicine | 14213 (Tennessee) | Secondary |
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. Stevens D Melton allows following entities to bill medicare on his behalf.
| Entity Name | Wt Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295223279
PECOS PAC ID: 1951650613
Enrollment ID: O20180814002772 |
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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. Stevens D Melton 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 |
|---|
Stevens D Melton, MD
1700 Woodlawn Ave,
Dyersburg, TN 38024
Ph: (731) 287-4500 | Stevens D Melton, MD
1700 Woodlawn Ave,
Dyersburg, TN 38024
Ph: (731) 287-4500 |
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