Mrs Melissa Ann Ronneburg, NP is a medicare enrolled "Nurse Practitioner - Family" in Jamestown, California. Her current practice location is
18144 Seco St, Jamestown, California. You can reach out to her office (for appointments etc.) via phone at
(209) 984-4820.
Mrs Melissa Ann Ronneburg is licensed to practice in California (license number 11324) 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 1578961736.
Provider's Profile
| Full Name | Mrs Melissa Ann Ronneburg |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 18144 Seco St, Jamestown, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578961736
- Provider Enumeration Date: 12/19/2014
- Last Update Date: 05/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 6406897347
- Enrollment ID: I20150320001737
Medical Identifiers
Medical identifiers for Mrs Melissa Ann Ronneburg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578961736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11324 (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. Mrs Melissa Ann Ronneburg allows following entities to bill medicare on her behalf.
| Entity Name | Mathiesen Memorial Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255595484
PECOS PAC ID: 1759429814
Enrollment ID: O20091110000350 |
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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 Melissa Ann Ronneburg 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 |
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Mrs Melissa Ann Ronneburg, NP
Po Box 535,
Jamestown, CA 95327-0535
Ph: (209) 984-4820 | Mrs Melissa Ann Ronneburg, NP
18144 Seco St,
Jamestown, CA 95327-9498
Ph: (209) 984-4820 |
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