Dr Eliezer Melendez, MD is a medicare enrolled "Pediatrics" physician in Lakeport, California. His current practice location is
925 Bevins Court, Lakeport, California. You can reach out to his office (for appointments etc.) via phone at
(707) 263-8383.
Dr Eliezer Melendez is licensed to practice in California (license number 195676) 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 1518926393.
Physician's Profile
| Full Name | Dr Eliezer Melendez |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 925 Bevins Court, Lakeport, California |
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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: 1518926393
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698735496
- Enrollment ID: I20041015000597
Medical Identifiers
Medical identifiers for Dr Eliezer Melendez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1518926393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | 195676 (California) | Primary |
| 208000000X | Pediatrics | 5315008496 (Michigan) | 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. Dr Eliezer Melendez allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Medical Group Promed |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497709869 PECOS PAC ID: 7315856077 Enrollment ID: O20031216000478 |
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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. Dr Eliezer 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 |
Dr Eliezer Melendez, MD Po Box 1950, Lakeport, CA 95453-1950 Ph: (707) 263-8383 | Dr Eliezer Melendez, MD 925 Bevins Court, Lakeport, CA 95453-9754 Ph: (707) 263-8383 |
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