Melissa Elaine Lucarelli, MD is a medicare enrolled "Family Medicine" physician in Randolph, Wisconsin. She went to Illinois Medical College and graduated in 1994 and has 32 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Randolph Community Clinic Sc and her current practice location is
504 S High Street, Randolph, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 326-5060.
Melissa Elaine Lucarelli is licensed to practice in Wisconsin (license number 36988020) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336102169.
Physician's Profile
| Full Name | Melissa Elaine Lucarelli |
|---|
| Gender | Female |
|---|
| Speciality | Family Practice |
|---|
| Experience | 32 Years |
|---|
| Location | 504 S High Street, Randolph, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Melissa Elaine Lucarelli attended and graduated from Illinois Medical College in 1994
NPI Data:
- NPI Number: 1336102169
- Provider Enumeration Date: 04/11/2006
- Last Update Date: 07/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 1254227119
- Enrollment ID: I20101021000682
Medical Identifiers
Medical identifiers for Melissa Elaine Lucarelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336102169 | NPI | - | NPPES |
| 080174465 | Other | | RAILROAD MEDICARE |
| 11573 | Other | WI | DEAN HEALTH PLAN |
| 32327000 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 36988020 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Randolph Community Clinic Sc | 1456247311 | 3 |
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. Melissa Elaine Lucarelli allows following entities to bill medicare on her behalf.
| Entity Name | Randolph Community Clinic Sc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1497832257
PECOS PAC ID: 1456247311
Enrollment ID: O20101021000632 |
|---|
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. Melissa Elaine Lucarelli 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 |
|---|
Melissa Elaine Lucarelli, MD
504 S High St, Po Box 101,
Randolph, WI 53956-1499
Ph: (920) 326-5060 | Melissa Elaine Lucarelli, MD
504 S High Street,
Randolph, WI 53956
Ph: (920) 326-5060 |
Reviews and Comments