Tina M Melanson, MD - Medicare Nephrology in Sioux Falls, SD

Tina M Melanson, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Sioux Falls, South Dakota. She went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nephrology. She is a member of the group practice Prairie Lakes Health Care Systems Inc, Prairie Lakes Health Care Systems Inc and her current practice location is 1001 E 21st St, Ste. 300, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-5800.

Tina M Melanson is licensed to practice in South Dakota (license number 5105) 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 1437125119.

Contact Information

Tina M Melanson, MD
1001 E 21st St, Ste. 300,
Sioux Falls, SD 57105-1033
(605) 322-5800
(605) 322-5801

Map and Direction




Physician's Profile

Full NameTina M Melanson
GenderFemale
SpecialityNephrology
Experience27 Years
Location1001 E 21st St, Sioux Falls, South Dakota
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:
  • Tina M Melanson attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1997
  NPI Data:
  • NPI Number: 1437125119
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 07/22/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6002950771
  • Enrollment ID: I20100218000325

Medical Identifiers

Medical identifiers for Tina M Melanson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437125119NPI-NPPES
1706711OtherSDARAZ/ AMERICA'S PPO
6630830MedicaidSD
300T3MEOtherMNBLUE CROSS
0560631MedicaidIA
390008566OtherSDRR MEDICARE
0040703OtherSDBLUE CROSS
28925OtherSDSANFORD HEALTH PLAN
5105OtherSDDAKOTACARE
HP38411OtherSDHEALTHPARTNERS
12903MedicaidND
237914OtherSDMIDLANDS CHOICE
406751032068OtherSDPREFERRED ONE
46022474344MedicaidNE
300T3MEOtherMNCC SYSTEMS/ BLUE PLUS
3100148OtherSDMEDICA
57105P005OtherSDWPS TRICARE
891490700MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 5105 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sisseton Satellite DialysisSisseton, SDDialysis facility
Prairie Lakes Healthcare System, IncWatertown, SDHospital
Huron Regional Medical CenterHuron, SDHospital
Coteau Des Prairies Health Care SystemSisseton, SDHospital
Milbank Area Hospital/avera HealthMilbank, SDHospital
Ortonville Area Health ServicesOrtonville, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Lakes Health Care Systems Inc8628987823122
Prairie Lakes Health Care Systems Inc8628987823122

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. Tina M Melanson allows following entities to bill medicare on her behalf.
Entity NamePrairie Lakes Health Care Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720166002
PECOS PAC ID: 8628987823
Enrollment ID: O20040202000187

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. Tina M Melanson 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
Tina M Melanson, MD
401 9th Nwave,
Watertown, SD 57201-1548

Ph: (605) 882-5455
Tina M Melanson, MD
1001 E 21st St, Ste. 300,
Sioux Falls, SD 57105-1033

Ph: (605) 322-5800

Reviews and Comments


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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).

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