Dr Melissa J Perrin-hernandez, MD is a medicare enrolled "Pediatrics" physician in Ellenwood, Georgia. Her current practice location is
211 Fairview Rd, Ellenwood, Georgia. You can reach out to her office (for appointments etc.) via phone at
(678) 289-6747.
Dr Melissa J Perrin-hernandez is licensed to practice in Georgia (license number 83975) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366736035.
Physician's Profile
Full Name | Dr Melissa J Perrin-hernandez |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 211 Fairview Rd, Ellenwood, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366736035
- Provider Enumeration Date: 05/31/2011
- Last Update Date: 09/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 2466678412
- Enrollment ID: I20191112000406
Medical Identifiers
Medical identifiers for Dr Melissa J Perrin-hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366736035 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD19062 (Hawaii) | Secondary |
208000000X | Pediatrics | 268303 (New York) | Secondary |
208000000X | Pediatrics | 83975 (Georgia) | Primary |
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 Melissa J Perrin-hernandez allows following entities to bill medicare on her behalf.
Entity Name | Aylo Health, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013018811 PECOS PAC ID: 8022901925 Enrollment ID: O20040204000918 |
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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 Melissa J Perrin-hernandez 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 |
Dr Melissa J Perrin-hernandez, MD 211 Fairview Rd, Ellenwood, GA 30294-2721 Ph: (678) 289-6747 | Dr Melissa J Perrin-hernandez, MD 211 Fairview Rd, Ellenwood, GA 30294-2721 Ph: (678) 289-6747 |
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