Ms Tandy Alice Mellard, PNP is a
Nurse Practitioner - Pediatrics physician based in Austin, Texas. Ms Tandy Alice Mellard is licensed to practice in Texas (license number 646493) and her current practice location is 4900 Mueller Blvd, Austin, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 324-0197.
NPI number for Ms Tandy Alice Mellard is 1427138833 and her current mailing address is 1301 Barbara Jordan Blvd, Suite #200, Austin, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427138833.
Physician's Profile
| Full Name | Ms Tandy Alice Mellard |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 4900 Mueller Blvd, Austin, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427138833
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 04/08/2013
Medical Identifiers
Medical identifiers for Ms Tandy Alice Mellard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427138833 | NPI | - | NPPES |
| 176872303 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 646493 (Texas) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 646493 (Texas) | Primary |
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. Ms Tandy Alice Mellard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Tandy Alice Mellard, PNP
1301 Barbara Jordan Blvd, Suite #200,
Austin, TX 78723-3077
Ph: (512) 628-1932 | Ms Tandy Alice Mellard, PNP
4900 Mueller Blvd,
Austin, TX 78723-3079
Ph: (512) 324-0197 |
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