- Medicare Primary Care in Melville, NY

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is a medicare enrolled primary clinic (Family Medicine) in Melville, New York. The current practice location for is 555 Broadhollow Rd Ste 305, Melville, New York. For appointments, you can reach them via phone at (773) 292-4800. The mailing address for is 730 Cool Springs Blvd Ste 500, Franklin, Tennessee and phone number is (773) 292-4800.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1205234291. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (773) 292-4800.

Contact Information

555 Broadhollow Rd Ste 305
Melville
NY 11747-5018
(773) 292-4800
(312) 564-4059

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location555 Broadhollow Rd Ste 305, Melville, New York
Authorized Official Name and PositionGrace Blue (CREDENTIALING SR. MANAGER)
Authorized Official Contact7732924800
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

730 Cool Springs Blvd Ste 500
Franklin
TN 37067-7331

Ph: (773) 292-4800
555 Broadhollow Rd Ste 305
Melville
NY 11747-5018

Ph: (773) 292-4800

NPI Details:

NPI Number1205234291
Provider Enumeration Date12/08/2014
Last Update Date02/13/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2365813904
Medicare Enrollment IDO20230119000427

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205234291NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207QA0505XFamily Medicine - Adult Medicine (* (Not Available))Secondary
207QH0002XFamily Medicine - Hospice And Palliative Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RH0002XInternal Medicine - Hospice And Palliative Medicine (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameLinda L Mooney-sumpter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336163989
PECOS PAC ID: 5597764266
Enrollment ID: I20061206000197
Provider NameLorane Harris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285894857
PECOS PAC ID: 3779658877
Enrollment ID: I20080825000650
Provider NameDonna M Pangilinan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578818928
PECOS PAC ID: 2769631969
Enrollment ID: I20121003000566
Provider NameLauren A Ellis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407265556
PECOS PAC ID: 5597081224
Enrollment ID: I20150224000790
Provider NameCarmelle K Cime
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295118008
PECOS PAC ID: 2466749015
Enrollment ID: I20160926000144
Provider NameRosetta Romero-williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780080010
PECOS PAC ID: 9739454059
Enrollment ID: I20171012000038
Provider NameDeborah Shepard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043205628
PECOS PAC ID: 9436116829
Enrollment ID: I20180601002296
Provider NameJezaida Rivera-alvarez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265079651
PECOS PAC ID: 3577962281
Enrollment ID: I20210601000805
Provider NameShannon Alsop
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003043803
PECOS PAC ID: 7517121742
Enrollment ID: I20230119000585
Provider NameShaned Spielman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457057986
PECOS PAC ID: 4082078480
Enrollment ID: I20230919002296
Provider NameJoan Ferrelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114955424
PECOS PAC ID: 1355521337
Enrollment ID: I20231106002224
Provider NameLisa Marie Horne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346505047
PECOS PAC ID: 7911151303
Enrollment ID: I20231218000680
Provider NameNatasha Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578080636
PECOS PAC ID: 8628413606
Enrollment ID: I20240229001573
Provider NameMelissa R Dezan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346609773
PECOS PAC ID: 5991142549
Enrollment ID: I20240319002493
Provider NameMatia Lavonne Kilgore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730775958
PECOS PAC ID: 0547659146
Enrollment ID: I20240815003253
Provider NameJerrica Nicole Moreno
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366159444
PECOS PAC ID: 8729513890
Enrollment ID: I20241126002350

Reviews and Comments


Family Medicine in Melville, NY

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Practice Location: 4 Legends Cir, Melville, NY 11747
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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.