Gary J. Mellon ,o.d.,p.c. is a
Eyewear Supplier based in Boyne City, Michigan. Gary J. Mellon ,o.d.,p.c. is licensed to practice in * (Not Available) (license number ) and their current practice location is
102 E Main St, Boyne City, Michigan. It can be reached at their office (for appointments etc.) via phone at
(231) 582-6704.
NPI number for Gary J. Mellon ,o.d.,p.c. is 1609045921 and their current mailing address is 102 E Main St, Boyne City, Michigan. Gary J. Mellon ,o.d.,p.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1609045921.
Healthcare Provider's Profile
| Full Name | Gary J. Mellon ,o.d.,p.c. |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
|---|
| Location | 102 E Main St, Boyne City, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609045921
- Provider Enumeration Date: 02/21/2008
- Last Update Date: 02/26/2008
Medical Identifiers
Medical identifiers for Gary J. Mellon ,o.d.,p.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609045921 | NPI | - | NPPES |
| 7000020361 | Other | MI | PRIORITY HEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | 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. Gary J. Mellon ,o.d.,p.c. 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 Address | Practice Location Address |
|---|
Gary J. Mellon ,o.d.,p.c.
102 E Main St,
Boyne City, MI 49712-1336
Ph: () - | Gary J. Mellon ,o.d.,p.c.
102 E Main St,
Boyne City, MI 49712-1336
Ph: (231) 582-6704 |
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