Mrs Suzanne Mellon, NP, RN in Modesto, CA - Medicare Nurse Practitioner

Mrs Suzanne Mellon, NP, RN is a medicare enrolled "Nurse Practitioner - Family" in Modesto, California. Her current practice location is 1524 Mchenry Ave, Suite 405, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 575-5885.

Mrs Suzanne Mellon is licensed to practice in California (license number 95014427) 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 1780354134.

Contact Information

	Mrs Suzanne Mellon, NP, RN
	1524 Mchenry Ave, Suite 405, Modesto, CA 95350
	(209) 575-5885
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Suzanne Mellon
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1524 Mchenry Ave, Suite 405, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780354134
Provider Enumeration Date: 09/16/2021
Last Update Date: 09/16/2021

Medicare PECOS Information:

PECOS PAC ID: 2769864479
Enrollment ID: I20220727003459

Medical Identifiers

Medical identifiers for Mrs Suzanne Mellon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780354134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	766317 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95014427 (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 Suzanne Mellon allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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 Suzanne Mellon 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 Suzanne Mellon, NP, RN 1524 Mchenry Ave, Suite 405, Modesto, CA 95350 Ph: () -	Mrs Suzanne Mellon, NP, RN 1524 Mchenry Ave, Suite 405, Modesto, CA 95350 Ph: (209) 575-5885

Reviews and Comments

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Ms. Fantine Warda, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Coffee Rd, Modesto, CA 95355 Phone: 209-526-4500 Fax: 209-572-7901
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Sukhjit Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 17th St, Modesto, CA 95354 Phone: 209-251-0200

Mrs Suzanne Mellon, NP, RN - Medicare Nurse Practitioner in Modesto, CA