Dr Shanna Melton, PSYD | |
501 Broad St Ste 306, Rome, GA 30161-3096 | |
(706) 232-8330 | |
(844) 873-4760 |
Full Name | Dr Shanna Melton |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 501 Broad St Ste 306, Rome, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851432058 | NPI | - | NPPES |
434425435A | Medicaid | GA | |
434425435D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY002843 (Georgia) | Primary |
Entity Name | Wellpsyche, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992939201 PECOS PAC ID: 2668833740 Enrollment ID: O20230804003704 |
Mailing Address | Practice Location Address |
---|---|
Dr Shanna Melton, PSYD 58 Wellington Way Se, Rome, GA 30161-9417 Ph: () - | Dr Shanna Melton, PSYD 501 Broad St Ste 306, Rome, GA 30161-3096 Ph: (706) 232-8330 |
Dr. John Azar-dickens, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 E 5th Ave, Rome, GA 30161 Phone: 706-232-6743 Fax: 706-232-8050 | |
Dr. Paul Schlachter, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1345 Redmond Road, Rome, GA 30165 Phone: 910-742-9243 Fax: 888-746-1787 | |
Randell Leon Elkins Jr., PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 701 Broad St Ste 350, Rome, GA 30161 Phone: 706-295-2028 Fax: 706-295-2062 | |
Dr. Elizabeth Austin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 106 E 5th Ave, Rome, GA 30161 Phone: 706-232-8330 Fax: 706-232-8331 | |
Dr. Judith Tutin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 519 Broad St, Suite 202, Rome, GA 30161 Phone: 706-232-5544 Fax: 888-543-1173 | |
Dr. Alice Eleanor Wiener, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 412 E 1st St, Rome, GA 30161 Phone: 706-235-6990 Fax: 706-235-4985 | |
Jason Randolph Dunn, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 701 Broad St, Ste 350, Rome, GA 30161 Phone: 762-235-3640 Fax: 706-295-2062 |