Eric Mellencamp, MD in Roanoke, VA

Eric Mellencamp, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Roanoke, Virginia. His current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 981-7037.

Eric Mellencamp is licensed to practice in Virginia (license number 0101243089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326048380.

Contact Information

	Eric Mellencamp, MD
	1906 Belleview Ave Se, Roanoke, VA 24014-1838
	(540) 981-7037
	Not Available

Map and Direction

Physician's Profile

Full Name	Eric Mellencamp
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1906 Belleview Ave Se, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326048380
Provider Enumeration Date: 07/29/2005
Last Update Date: 02/08/2019

Medicare PECOS Information:

PECOS PAC ID: 9335226950
Enrollment ID: I20180117002597

Medical Identifiers

Medical identifiers for Eric Mellencamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326048380	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD040130E (Pennsylvania)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	C10006375 (Delaware)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	C1-0006375 (Delaware)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD040130E (Pennsylvania)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	0101243089 (Virginia)	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. Eric Mellencamp allows following entities to bill medicare on his behalf.

Entity Name	Radadvantage A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20150715000075

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. Eric Mellencamp 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
Eric Mellencamp, MD 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7037	Eric Mellencamp, MD 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7037

Reviews and Comments

Radiology Doctors in Roanoke, VA

Dr. Alfred T Shilling, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8260
Ronald L Washburn, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-342-1757
Gary L Aragon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 213 S Jefferson St Ste 1006, Roanoke, VA 24011 Phone: 540-224-5715
Dr. Vishal Mukesh Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 352-642-3783
Michael S Chung, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7083
Dr. Bert Cody Piggott Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-342-1757
Francine Lee Jacobson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7083 Fax: 540-981-8260

Eric Mellencamp, MD - Medicare Radiology in Roanoke, VA