Andrew Thomas Melendez, DO in Manteca, CA - Medicare Emergency Medicine

Andrew Thomas Melendez, DO is a medicare enrolled "Emergency Medicine" physician in Manteca, California. His current practice location is 1777 W Yosemite Ave, Manteca, California. You can reach out to his office (for appointments etc.) via phone at (209) 825-3555.

Andrew Thomas Melendez is licensed to practice in Connecticut (license number 78226) 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 1104403252.

Contact Information

	Andrew Thomas Melendez, DO
	1777 W Yosemite Ave, Manteca, CA 95337-5187
	(209) 825-3555
	Not Available

Map and Direction

Physician's Profile

Full Name	Andrew Thomas Melendez
Gender	Male
Speciality	Emergency Medicine
Location	1777 W Yosemite Ave, Manteca, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104403252
Provider Enumeration Date: 03/25/2021
Last Update Date: 09/04/2025

Medicare PECOS Information:

PECOS PAC ID: 7012453475
Enrollment ID: I20240722001523

Medical Identifiers

Medical identifiers for Andrew Thomas Melendez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104403252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	78226 (Connecticut)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Andrew Thomas Melendez allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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. Andrew Thomas Melendez 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
Andrew Thomas Melendez, DO 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-6800	Andrew Thomas Melendez, DO 1777 W Yosemite Ave, Manteca, CA 95337-5187 Ph: (209) 825-3555

Reviews and Comments

Emergency Medicine Doctors in Manteca, CA

Jasleen Kaur Dhaliwal, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 951-973-2033
Kanwal S. Gill, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000
Kenneth C. Moy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000
Max William Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1721 W Yosemite Ave, Manteca, CA 95337 Phone: 209-476-2000
Dr. Amanda L Perez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Yosemite Ave, Manteca, CA 95337 Phone: 209-825-3555
Dr. John B Woodbury, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 E North St, Manteca, CA 95336 Phone: 209-239-8301

Andrew Thomas Melendez, DO - Medicare Emergency Medicine in Manteca, CA