Ms Karen Joan Melde, NP - Medicare Nurse Practitioner in Cumming, GA

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Ms Karen Joan Melde, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Cumming, Georgia. Her current practice location is 410 Peachtree Pkwy Ste 4260, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 990-2501.

Ms Karen Joan Melde is licensed to practice in Georgia (license number RN091317) 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 1043273923.

Contact Information

Ms Karen Joan Melde, NP
410 Peachtree Pkwy Ste 4260,
Cumming, GA 30041-7407
(678) 990-2501
(678) 990-2505

Map and Direction




Provider's Profile

Full NameMs Karen Joan Melde
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location410 Peachtree Pkwy Ste 4260, Cumming, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043273923
  • Provider Enumeration Date: 04/10/2006
  • Last Update Date: 09/11/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496197097
  • Enrollment ID: I20240529000312

Medical Identifiers

Medical identifiers for Ms Karen Joan Melde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043273923NPI-NPPES
RN091317OtherGARN LICENSURE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN091317 (Georgia)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. Ms Karen Joan Melde allows following entities to bill medicare on her behalf.
Entity NamePiedmont Access To Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649240698
PECOS PAC ID: 3476512427
Enrollment ID: O20050304000592
Entity NamePiedmont Access To Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235677634
PECOS PAC ID: 3476512427
Enrollment ID: O20170920001334

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. Ms Karen Joan Melde 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 AddressPractice Location Address
Ms Karen Joan Melde, NP
410 Peachtree Pkwy Ste 4260,
Cumming, GA 30041-7407

Ph: (678) 990-2501		Ms Karen Joan Melde, NP
410 Peachtree Pkwy Ste 4260,
Cumming, GA 30041-7407

Ph: (678) 990-2501

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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