Melinda A Douglas, CRNP in Meadville, PA - Medicare Nurse Practitioner

Melinda A Douglas, CRNP is a medicare enrolled "Nurse Practitioner" in Meadville, Pennsylvania. Her current practice location is 640 Alden St, Meadville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 373-5266.

Melinda A Douglas is licensed to practice in Pennsylvania (license number SP011406) 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 1679845192.

Contact Information

	Melinda A Douglas, CRNP
	640 Alden St, Meadville, PA 16335-2348
	(814) 373-5266
	(814) 373-5269

Map and Direction

Provider's Profile

Full Name	Melinda A Douglas
Gender	Female
Speciality	Nurse Practitioner
Location	640 Alden St, Meadville, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679845192
Provider Enumeration Date: 01/30/2012
Last Update Date: 02/02/2022

Medicare PECOS Information:

PECOS PAC ID: 6002075983
Enrollment ID: I20120313000309

Medical Identifiers

Medical identifiers for Melinda A Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679845192	NPI	-	NPPES
SP011406	Other	PA	PA STATE BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP011406 (Pennsylvania)	Primary
363LF0000X	Nurse Practitioner - Family	SP011406 (Pennsylvania)	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. Melinda A Douglas allows following entities to bill medicare on her behalf.

Entity Name	Titusville Area Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1316471212 PECOS PAC ID: 8022907575 Enrollment ID: O20171215001417

Entity Name	Titusville Area Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1962964981 PECOS PAC ID: 8022907575 Enrollment ID: O20190603002047

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. Melinda A Douglas 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
Melinda A Douglas, CRNP 1034 Grove St, Meadville, PA 16335-2945 Ph: (814) 373-5266	Melinda A Douglas, CRNP 640 Alden St, Meadville, PA 16335-2348 Ph: (814) 373-5266

Reviews and Comments

Nurse Practitioner Nurses in Meadville, PA

Marjorie Severo-stewart, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Liberty St, Suite 111, Meadville, PA 16335 Phone: 814-336-6384 Fax: 814-336-1372
Bridget Starr Gill, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 751 Liberty St, Meadville, PA 16335 Phone: 814-333-7016 Fax: 814-373-3543
Mrs. Diane Margaret Horneman, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1034 Grove St, Department Of Comprehensive Pain Care, Meadville, PA 16335 Phone: 814-333-5736 Fax: 814-333-5819
Ms. Elizabeth Ann Gillette Farbotnik, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16332 Conneaut Lake Rd, Meadville, PA 16335 Phone: 814-337-3300 Fax: 814-336-3740
Ashley Mcclure, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 149 N Main St, Meadville, PA 16335 Phone: 814-333-3939 Fax: 814-333-8819
Alexis B Pearson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 Alden St, Meadville, PA 16335 Phone: 814-373-5266 Fax: 814-373-5269
Jennifer Merritt, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 Water St, Meadville, PA 16335 Phone: 814-382-3100

Melinda A Douglas, CRNP - Medicare Nurse Practitioner in Meadville, PA