Dr Ezekiel Derek Alexander Melquist, MD - Medicare Pediatrics in Shelton, WA

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Dr Ezekiel Derek Alexander Melquist, MD is a medicare enrolled "Pediatrics" physician in Shelton, Washington. His current practice location is 1701 N 13th St, Shelton, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 426-2653.

Dr Ezekiel Derek Alexander Melquist is licensed to practice in Washington (license number MD61191074) 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 1720320724.

Contact Information

Dr Ezekiel Derek Alexander Melquist, MD
1701 N 13th St,
Shelton, WA 98584-2077
(360) 426-2653
(888) 985-0681

Map and Direction




Physician's Profile

Full NameDr Ezekiel Derek Alexander Melquist
GenderMale
SpecialityPediatrics
Location1701 N 13th St, Shelton, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720320724
  • Provider Enumeration Date: 03/18/2013
  • Last Update Date: 01/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6002214798
  • Enrollment ID: I20211011001824

Medical Identifiers

Medical identifiers for Dr Ezekiel Derek Alexander Melquist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720320724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD61191074 (Washington)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. Dr Ezekiel Derek Alexander Melquist allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028
Entity NamePublic Hospital District No 1 Of Mason County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760568752
PECOS PAC ID: 0345139275
Enrollment ID: O20040310001481

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 Ezekiel Derek Alexander Melquist 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
Dr Ezekiel Derek Alexander Melquist, MD
2411 Crestridge Dr Nw,
Olympia, WA 98502-9706

Ph: (347) 677-4264		Dr Ezekiel Derek Alexander Melquist, MD
1701 N 13th St,
Shelton, WA 98584-2077

Ph: (360) 426-2653

Reviews and Comments


Pediatrics Doctors in Shelton, WA

Alexandra Danae Rhodes,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 247 Professional Way, Shelton, WA 98584
Phone: 360-426-3102    
Dr. Jewel Park, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1701 N 13th St, Shelton, WA 98584
Phone: 360-426-2653    
Roseann Rayos, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1701 N 13th St, Shelton, WA 98584
Phone: 360-426-2653    

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.