Miss Melissa R Fred, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bloomfield, New Mexico. Her current practice location is
Po Box 2424, Bloomfield, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 215-8939.
Miss Melissa R Fred is licensed to practice in New Mexico (license number CMF0211601) 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 1306306337.
Healthcare Provider's Profile
Full Name | Miss Melissa R Fred |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | Po Box 2424, Bloomfield, New Mexico |
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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: 1306306337
- Provider Enumeration Date: 03/25/2019
- Last Update Date: 07/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 7911341110
- Enrollment ID: I20240215002084
Medical Identifiers
Medical identifiers for Miss Melissa R Fred such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306306337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | CMF0211601 (New Mexico) | 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. Miss Melissa R Fred allows following entities to bill medicare on her behalf.
Entity Name | Brightside Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230728000764 |
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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. Miss Melissa R Fred 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 |
Miss Melissa R Fred, LMFT Po Box 2424, Bloomfield, NM 87413-2424 Ph: (505) 215-8939 | Miss Melissa R Fred, LMFT Po Box 2424, Bloomfield, NM 87413-2424 Ph: (505) 215-8939 |
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