Dr Kurt Allan Melstrom Jr, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Glendora, California. He went to Js Weill Medical College, Cornell University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice City Of Hope Medical Foundation and his current practice location is
412 W Carroll Ave Ste 200, Glendora, California. You can reach out to his office (for appointments etc.) via phone at
(626) 914-3921.
Dr Kurt Allan Melstrom Jr is licensed to practice in California (license number A135013) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508026832.
Physician's Profile
| Full Name | Dr Kurt Allan Melstrom Jr |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 21 Years |
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| Location | 412 W Carroll Ave Ste 200, Glendora, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kurt Allan Melstrom Jr attended and graduated from Js Weill Medical College, Cornell University in 2003
NPI Data:
- NPI Number: 1508026832
- Provider Enumeration Date: 06/10/2008
- Last Update Date: 11/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830116847
- Enrollment ID: I20150716001454
Medical Identifiers
Medical identifiers for Dr Kurt Allan Melstrom Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508026832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | A135013 (California) | Secondary |
| 208600000X | Surgery | 036114508 (Illinois) | Secondary |
| 208C00000X | Colon & Rectal Surgery | A135013 (California) | Primary |
| 208600000X | Surgery | 259161 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Of Hope Medical Foundation | 3779751656 | 686 |
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. Dr Kurt Allan Melstrom Jr allows following entities to bill medicare on his behalf.
| Entity Name | City Of Hope Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871886366
PECOS PAC ID: 3779751656
Enrollment ID: O20110720000244 |
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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. Dr Kurt Allan Melstrom Jr 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 Address | Practice Location Address |
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Dr Kurt Allan Melstrom Jr, MD
Po Box 512185,
Los Angeles, CA 90051-0185
Ph: () - | Dr Kurt Allan Melstrom Jr, MD
412 W Carroll Ave Ste 200,
Glendora, CA 91741-4709
Ph: (626) 914-3921 |
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