Kenneth Melby, MD - Medicare Internal Medicine in Decatur, GA

Kenneth Melby, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Decatur, Georgia. His current practice location is 2665 N Decatur Rd, Suite 430, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 294-4018.

Kenneth Melby is licensed to practice in Georgia (license number 26337) 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 1033299144.

Contact Information

Kenneth Melby, MD
2665 N Decatur Rd, Suite 430,
Decatur, GA 30033-6149
(404) 294-4018
(404) 294-9161

Map and Direction




Physician's Profile

Full NameKenneth Melby
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location2665 N Decatur Rd, Decatur, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033299144
  • Provider Enumeration Date: 10/16/2006
  • Last Update Date: 06/09/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4880780253
  • Enrollment ID: I20120130000895

Medical Identifiers

Medical identifiers for Kenneth Melby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033299144NPI-NPPES
000315169EMedicaidGA
000315169FMedicaidGA
000315169GMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 26337 (Georgia)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 26337 (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. Kenneth Melby allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Lung Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235114430
PECOS PAC ID: 3072507938
Enrollment ID: O20040413000926

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. Kenneth Melby 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 AddressPractice Location Address
Kenneth Melby, MD
2665 N Decatur Rd, Suite 430,
Decatur, GA 30033-6149

Ph: (404) 294-4018
Kenneth Melby, MD
2665 N Decatur Rd, Suite 430,
Decatur, GA 30033-6149

Ph: (404) 294-4018

Reviews and Comments


Internal Medicine Doctors in Decatur, GA

Dr. Ned Wilson Holland, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033
Phone: 404-321-6111    Fax: 404-728-4703
Cedrella Carol Jones-taylor, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033
Phone: 404-321-6111    
Dr. Gary Robert Botstein, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2712 N Decatur Rd, Decatur, GA 30033
Phone: 404-299-0187    Fax: 404-292-2766
Priti Rajnikant Patel, M.D.
Pulmonary Disease
Medicare: Not Enrolled in Medicare
Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033
Phone: 404-321-6111    
John Oliga, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034
Phone: 404-585-5049    Fax: 404-591-0292
Dr. Pojnicha Mekaroonkamol, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032
Phone: 404-836-0272    Fax: 404-836-0289
Dr. Charles Michael Hart, MD
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 1670 Clairmont Rd, 151-p, Decatur, GA 30033
Phone: 404-321-6111    Fax: 404-728-7750

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.