Kellie Anne Mellon, - Medicare Nurse Practitioner in Paoli, PA

Kellie Anne Mellon, is a medicare enrolled "Nurse Practitioner - Family" in Paoli, Pennsylvania. Her current practice location is 1776 E Lancaster Ave, Paoli, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 647-4366.

Kellie Anne Mellon is licensed to practice in Pennsylvania (license number SP012992) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134553332.

Contact Information

Kellie Anne Mellon,
1776 E Lancaster Ave,
Paoli, PA 19301-1550
(610) 647-4366
Not Available

Map and Direction




Provider's Profile

Full NameKellie Anne Mellon
GenderFemale
SpecialityNurse Practitioner - Family
Location1776 E Lancaster Ave, Paoli, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134553332
  • Provider Enumeration Date: 08/25/2013
  • Last Update Date: 08/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7214161629
  • Enrollment ID: I20131017001002

Medical Identifiers

Medical identifiers for Kellie Anne Mellon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134553332NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP012992 (Pennsylvania)Primary

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. Kellie Anne Mellon allows following entities to bill medicare on her behalf.
Entity NameAtlantic Physician Services Of Maryland, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730129594
PECOS PAC ID: 5193619765
Enrollment ID: O20040504000401
Entity NameChester County Pulmonary And Sleep Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740235761
PECOS PAC ID: 4587646138
Enrollment ID: O20040607000427
Entity NameManos Family Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801978010
PECOS PAC ID: 4486638533
Enrollment ID: O20040616000201
Entity NameEmergency Physician Associates Of Pennsylvania Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619990900
PECOS PAC ID: 5597663252
Enrollment ID: O20040913000755
Entity NameProspect Health Access Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568819084
PECOS PAC ID: 5698065142
Enrollment ID: O20160613000737

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. Kellie Anne Mellon 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
Kellie Anne Mellon,
513 Raspberry Ln,
West Chester, PA 19382-2252

Ph: (484) 832-6491
Kellie Anne Mellon,
1776 E Lancaster Ave,
Paoli, PA 19301-1550

Ph: (610) 647-4366

Reviews and Comments


Nurse Practitioner Nurses in Paoli, PA

Jamie L Dillinger, C.R.N.P.
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Practice Location: 2 Industrial Blvd Ste 200, Paoli, PA 19301
Phone: 610-647-2400    Fax: 610-647-3902

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.