| Dr Andrea Louise Melton, MD | |
|
11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 | |
| (513) 561-7809 | |
| (513) 272-4121 |
| Full Name | Dr Andrea Louise Melton |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 11140 Montgomery Road, Montgomery, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306164553 | NPI | - | NPPES |
| 7100310120 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.121092 (Ohio) | Primary |
| Entity Name | Dedicated Ohio Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922631019 PECOS PAC ID: 2769718659 Enrollment ID: O20200508000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrea Louise Melton, MD 11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 Ph: (513) 561-7809 | Dr Andrea Louise Melton, MD 11140 Montgomery Road, Suite 2500, Montgomery, OH 45249 Ph: (513) 561-7809 |
Paula Pacurari, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-856-2246 Fax: 513-865-5552 | |
Katherine Keegan Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11140 Montgomery Rd Ste 2500, Montgomery, OH 45249 Phone: 513-561-7809 Fax: 513-272-4121 | |
Jennifer Woodward, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11140 Montgomery Rd Ste 2500, Montgomery, OH 45249 Phone: 513-561-7809 Fax: 513-272-4121 | |
Margaret A. Moon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11140 Montgomery Rd Ste 2500, Montgomery, OH 45249 Phone: 513-561-7809 Fax: 513-272-4121 | |
Rebecca Esther Beesley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-5110 Fax: 513-865-5112 | |
Sara Marie Stigler Maples, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 10500 Montgomery Rd Ste 6345, Montgomery, OH 45242 Phone: 513-865-5167 |