| Melinda H Peterlin, MD | |
|
7000 Wellness Way Ste 7230, St Simons Island, GA 31522-2286 | |
| (912) 634-2795 | |
| (912) 638-5636 |
| Full Name | Melinda H Peterlin |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7000 Wellness Way Ste 7230, St Simons Island, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194712505 | NPI | - | NPPES |
| 34231500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 44728 020 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 072916 (Georgia) | Primary |
| Entity Name | Coastal Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609298751 PECOS PAC ID: 0345463683 Enrollment ID: O20140731001948 |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda H Peterlin, MD 7000 Wellness Way Ste 7230, St Simons Island, GA 31522-2286 Ph: (912) 634-2795 | Melinda H Peterlin, MD 7000 Wellness Way Ste 7230, St Simons Island, GA 31522-2286 Ph: (912) 634-2795 |
Dr. Melissa A Wood-katz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7000 Wellness Way Ste 7230, St Simons Island, GA 31522 Phone: 912-634-2795 Fax: 912-638-5636 | |
Neil E. Goodman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5500 Frederica Rd Unit 2208, St Simons Island, GA 31522 Phone: 912-268-4633 Fax: 888-771-6577 |