Ms Tandy Alice Mellard, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Austin, Texas. Her current practice location is
4900 Mueller Blvd, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 324-0197.
Ms Tandy Alice Mellard is licensed to practice in Texas (license number 646493) 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 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427138833
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 04/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 3779501119
- Enrollment ID: I20051104000081
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 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. Ms Tandy Alice Mellard allows following entities to bill medicare on her behalf.
Entity Name | Community Medicine Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245313329 PECOS PAC ID: 7719979509 Enrollment ID: O20040401000372 |
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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
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 |
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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