Katie Marie Melville, LPN is a
Licensed Practical Nurse based in Cedar, Michigan. Katie Marie Melville is licensed to practice in Michigan (license number 4703105847) and her current practice location is
13194 S Cedar Rd, Cedar, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 357-3932.
NPI number for Katie Marie Melville is 1386112720 and her current mailing address is 1169 Valley Dr, Traverse City, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386112720.
Provider's Profile
Full Name | Katie Marie Melville |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 13194 S Cedar Rd, Cedar, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386112720
- Provider Enumeration Date: 11/04/2018
- Last Update Date: 11/04/2018
Medical Identifiers
Medical identifiers for Katie Marie Melville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386112720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703105847 (Michigan) | Primary |
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. Katie Marie Melville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katie Marie Melville, LPN 1169 Valley Dr, Traverse City, MI 49685-8920 Ph: (616) 717-0247 | Katie Marie Melville, LPN 13194 S Cedar Rd, Cedar, MI 49621-9581 Ph: (231) 357-3932 |
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