Shayna Mellesmoen, OD - Medicare Optometrist in Bloomington, MN

Shayna Mellesmoen, OD is a medicare enrolled "Optometrist" provider in Bloomington, Minnesota. Her current practice location is 9117 Lyndale Ave S, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 835-1235.

Shayna Mellesmoen is licensed to practice in Minnesota (license number 3883) 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 1104503382.

Contact Information

Shayna Mellesmoen, OD
9117 Lyndale Ave S,
Bloomington, MN 55420-3522
(952) 835-1235
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShayna Mellesmoen
GenderFemale
SpecialityOptometrist
Location9117 Lyndale Ave S, Bloomington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104503382
  • Provider Enumeration Date: 06/29/2023
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436513249
  • Enrollment ID: I20230913000332

Medical Identifiers

Medical identifiers for Shayna Mellesmoen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104503382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3883 (Minnesota)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. Shayna Mellesmoen allows following entities to bill medicare on her behalf.
Provider NameChu Laser Eye Institute, Pa
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407977762
PECOS PAC ID: 4082644786
Enrollment ID: O20050812000430
Provider NameElton Eyecare Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811430226
PECOS PAC ID: 9032455936
Enrollment ID: O20190115000305

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. Shayna Mellesmoen 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
Shayna Mellesmoen, OD
8115 2nd Ave S,
Bloomington, MN 55420-1211

Ph: (952) 686-4553
Shayna Mellesmoen, OD
9117 Lyndale Ave S,
Bloomington, MN 55420-3522

Ph: (952) 835-1235

Reviews and Comments


Optometrist in Bloomington, MN

Dr. Frantz Junior Pierre Toussaint, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420
Phone: 952-541-2800    
Neda Tahvilian, OD
Optometrist
Medicare: Medicare Enrolled
Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431
Phone: 952-888-5800    
Dr. Danford William Davis, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 9117 Lyndale Ave S, Bloomington, MN 55420
Phone: 952-835-1235    Fax: 952-835-0534
Dr. Lori Louise Mowbray, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1650 W 82nd St, #800, Bloomington, MN 55431
Phone: 952-844-0844    Fax: 952-844-0810
Dr. Scott D Hadden, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 715 E 78th St, Bloomington, MN 55420
Phone: 952-854-2262    Fax: 952-854-5493
Michael Daniel Scheidt, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431
Phone: 952-888-5800    

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.