Larry Dean Mellott, CRNA in Ephrata, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Larry Dean Mellott, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ephrata, Pennsylvania. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Wellspan Medical Group and his current practice location is 169 Martin Ave, Ephrata, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 738-6618.

Larry Dean Mellott is licensed to practice in Pennsylvania (license number RN645912) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053932749.

Contact Information

	Larry Dean Mellott, CRNA
	169 Martin Ave, Ephrata, PA 17522-1724
	(717) 738-6618
	(717) 738-6646

Map and Direction

Provider's Profile

Full Name	Larry Dean Mellott
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	169 Martin Ave, Ephrata, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larry Dean Mellott graduated from nursing school in 2020

NPI Data:

NPI Number: 1053932749
Provider Enumeration Date: 05/04/2020
Last Update Date: 05/04/2020

Medicare PECOS Information:

PECOS PAC ID: 1052742681
Enrollment ID: I20200514000211

Medical Identifiers

Medical identifiers for Larry Dean Mellott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053932749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN645912 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellspan Ephrata Community Hospital	Ephrata, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellspan Medical Group	1951213115	1966

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. Larry Dean Mellott allows following entities to bill medicare on his behalf.

Entity Name	Wellspan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750480299 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815

Entity Name	Ephrata Community Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1063559912 PECOS PAC ID: 4981514445 Enrollment ID: O20091231000345

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. Larry Dean Mellott 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
Larry Dean Mellott, CRNA 3421 Concord Rd, York, PA 17402-9001 Ph: (717) 851-1405	Larry Dean Mellott, CRNA 169 Martin Ave, Ephrata, PA 17522-1724 Ph: (717) 738-6618

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ephrata, PA

Michele Deiterich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861
Mr. Jason Michael Dulimba, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311
Ms. Raquel Vanessa Wiker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311
Steven C Vandevander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861
Mrs. Kathleen Hill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311
Larry Cicero, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-733-0876

Larry Dean Mellott, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ephrata, PA