Mrs Melanie Moore, PA-C in Northville, MI - Medicare Physician Assistant

Mrs Melanie Moore, PA-C is a medicare enrolled "Physician Assistant" in Northville, Michigan. Her current practice location is 650 Griswold St, Northville, Michigan. You can reach out to her office (for appointments etc.) via phone at (734) 634-6449.

Mrs Melanie Moore is licensed to practice in Michigan (license number 5601010239) 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 1861024606.

Contact Information

	Mrs Melanie Moore, PA-C
	650 Griswold St, Northville, MI 48167-1666
	(734) 634-6449
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Melanie Moore
Gender	Female
Speciality	Physician Assistant
Location	650 Griswold St, Northville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861024606
Provider Enumeration Date: 02/10/2020
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7618364787
Enrollment ID: I20220420002377

Medical Identifiers

Medical identifiers for Mrs Melanie Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861024606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601010239 (Michigan)	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. Mrs Melanie Moore 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
Mrs Melanie Moore, PA-C 650 Griswold St, Northville, MI 48167-1666 Ph: (248) 912-0080	Mrs Melanie Moore, PA-C 650 Griswold St, Northville, MI 48167-1666 Ph: (734) 634-6449

Reviews and Comments

Physician Assistant Nurses in Northville, MI

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Mrs Melanie Moore, PA-C - Medicare Physician Assistant in Northville, MI