Mr Gino Satoshi Melillo, FNP PMHNP in Redondo Beach, CA

Mr Gino Satoshi Melillo, FNP PMHNP is a medicare enrolled "Nurse Practitioner - Family" in Redondo Beach, California. His current practice location is 514 N Prospect Ave Ste 103, Redondo Beach, California. You can reach out to his office (for appointments etc.) via phone at (310) 937-8555.

Mr Gino Satoshi Melillo is licensed to practice in California (license number NP95022918) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306524343.

Contact Information

	Mr Gino Satoshi Melillo, FNP PMHNP
	514 N Prospect Ave Ste 103, Redondo Beach, CA 90277-3037
	(310) 937-8555
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Gino Satoshi Melillo
Gender	Male
Speciality	Nurse Practitioner - Family
Location	514 N Prospect Ave Ste 103, Redondo Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306524343
Provider Enumeration Date: 07/10/2023
Last Update Date: 11/01/2023

Medicare PECOS Information:

PECOS PAC ID: 5294189536
Enrollment ID: I20230920003465

Medical Identifiers

Medical identifiers for Mr Gino Satoshi Melillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306524343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95022918 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	NP95022918 (California)	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. Mr Gino Satoshi Melillo allows following entities to bill medicare on his behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439

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. Mr Gino Satoshi Melillo 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
Mr Gino Satoshi Melillo, FNP PMHNP 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-8707	Mr Gino Satoshi Melillo, FNP PMHNP 514 N Prospect Ave Ste 103, Redondo Beach, CA 90277-3037 Ph: (310) 937-8555

Reviews and Comments

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Mr Gino Satoshi Melillo, FNP PMHNP - Medicare Nurse Practitioner in Redondo Beach, CA