Ms Melinda S Roalstad, PAC - Physician Assistant in Park City, UT

Ms Melinda S Roalstad, PAC is a Physician Assistant based in Park City, Utah. Ms Melinda S Roalstad is licensed to practice in Utah (license number 3629561206) and her current practice location is 1526 West Ute Blvd Ste 110, Park City, Utah. She can be reached at her office (for appointments etc.) via phone at (435) 659-5932.

NPI number for Ms Melinda S Roalstad is 1740453703 and her current mailing address is Po Box 980983, Park City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740453703.

Contact Information

Ms Melinda S Roalstad, PAC
1526 West Ute Blvd Ste 110,
Park City, UT 84098
(435) 659-5932
(435) 258-6863

Map and Direction




Provider's Profile

Full NameMs Melinda S Roalstad
GenderFemale
SpecialityPhysician Assistant
Location1526 West Ute Blvd Ste 110, Park City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740453703
  • Provider Enumeration Date: 04/10/2008
  • Last Update Date: 10/15/2018

Medical Identifiers

Medical identifiers for Ms Melinda S Roalstad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740453703NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3629561206 (Utah)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. Ms Melinda S Roalstad is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Melinda S Roalstad, PAC
Po Box 980983,
Park City, UT 84098

Ph: (435) 659-5932
Ms Melinda S Roalstad, PAC
1526 West Ute Blvd Ste 110,
Park City, UT 84098

Ph: (435) 659-5932

Reviews and Comments


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