Charles Mellor, PA in Port Jefferson, NY - Medicare Physician Assistant

Charles Mellor, PA is a medicare enrolled "Physician Assistant" in Port Jefferson, New York. His current practice location is 75 N Country Rd, Port Jefferson, New York. You can reach out to his office (for appointments etc.) via phone at (631) 473-1320.

Charles Mellor is licensed to practice in New York (license number 004335) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114014032.

Contact Information

	Charles Mellor, PA
	75 N Country Rd, Port Jefferson, NY 11777-2119
	(631) 473-1320
	(631) 686-7653

Map and Direction

Provider's Profile

Full Name	Charles Mellor
Gender	Male
Speciality	Physician Assistant
Location	75 N Country Rd, Port Jefferson, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114014032
Provider Enumeration Date: 10/10/2006
Last Update Date: 10/22/2015

Medicare PECOS Information:

PECOS PAC ID: 0244217792
Enrollment ID: I20040701001282

Medical Identifiers

Medical identifiers for Charles Mellor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114014032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	004335 (New York)	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. Charles Mellor 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
Charles Mellor, PA 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320	Charles Mellor, PA 75 N Country Rd, Port Jefferson, NY 11777-2119 Ph: (631) 473-1320

Reviews and Comments

Physician Assistant Nurses in Port Jefferson, NY

Ms. Christie Lee Cotty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd #110, Port Jefferson, NY 11777 Phone: 631-298-4008
Loretta Didwell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-474-4667
Igor Lizogubenko, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000
Julia Elizabeth Fitzpatrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-306-7949
Casey Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320
Mr. Matthew Delph, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000
Francis Richard Sicari, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320

Charles Mellor, PA - Medicare Physician Assistant in Port Jefferson, NY