Melanie Alexandra Atmadja, in Mountain View, CA

Melanie Alexandra Atmadja, is a medicare enrolled "Pediatrics" physician in Mountain View, California. Her current practice location is 701 E. El Camino Real, Mountain View, California. You can reach out to her office (for appointments etc.) via phone at (650) 934-7956.

Melanie Alexandra Atmadja is licensed to practice in California (license number A126543) 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 1033475462.

Contact Information

	Melanie Alexandra Atmadja,
	701 E. El Camino Real, Mountain View, CA 94040-2833
	(650) 934-7956
	Not Available

Map and Direction

Physician's Profile

Full Name	Melanie Alexandra Atmadja
Gender	Female
Speciality	Pediatrics
Location	701 E. El Camino Real, Mountain View, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033475462
Provider Enumeration Date: 04/10/2012
Last Update Date: 09/18/2015

Medicare PECOS Information:

PECOS PAC ID: 0941516900
Enrollment ID: I20150904002113

Medical Identifiers

Medical identifiers for Melanie Alexandra Atmadja such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033475462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A126543 (California)	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. Melanie Alexandra Atmadja allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Melanie Alexandra Atmadja 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
Melanie Alexandra Atmadja, 2350 W. El Camino Real, 2nd Floor, Mountain View, CA 94040-6203 Ph: (650) 934-7956	Melanie Alexandra Atmadja, 701 E. El Camino Real, Mountain View, CA 94040-2833 Ph: (650) 934-7956

Reviews and Comments

Pediatrics Doctors in Mountain View, CA

Kaitlin Duke Lemei, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 E. El Camino Real, Mountain View, CA 94040 Phone: 650-934-7000
Swarnapali R.p. Seneviratna, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Miramonte Ave, Mountain View, CA 94040 Phone: 650-965-3323
Michaella Okihara, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7956
George A. Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 555 Castro St, Mountain View, CA 94041 Phone: 650-903-3000
Patricia Samson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-934-7956
Dr. Christina Vu, M.D, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 E El Camino Real, Mountain View, CA 94040 Phone: 650-404-8370

Melanie Alexandra Atmadja, - Medicare Pediatrics in Mountain View, CA