Melissa Tavares Entrup, PA-C is a medicare enrolled "Physician Assistant" in Saddle River, New Jersey. Her current practice location is
82 E Allendale Rd Ste 7a&7b, Saddle River, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 236-8282.
Melissa Tavares Entrup is licensed to practice in New Jersey (license number 25MP00404200) 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 1053864249.
Provider's Profile
Full Name | Melissa Tavares Entrup |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 82 E Allendale Rd Ste 7a&7b, Saddle River, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053864249
- Provider Enumeration Date: 07/25/2016
- Last Update Date: 11/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749524395
- Enrollment ID: I20181207001682
Medical Identifiers
Medical identifiers for Melissa Tavares Entrup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053864249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 25MP00404200 (New Jersey) | 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. Melissa Tavares Entrup 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 |
Melissa Tavares Entrup, PA-C 82 E Allendale Rd Ste 7a&7b, Saddle River, NJ 07458-3057 Ph: () - | Melissa Tavares Entrup, PA-C 82 E Allendale Rd Ste 7a&7b, Saddle River, NJ 07458-3057 Ph: (201) 236-8282 |
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