Isabella Anne Melisko, MSN, AGACNP-BC is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" in Mesa, Arizona. Her current practice location is
1400 S Dobson Rd, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 412-3000.
Isabella Anne Melisko is licensed to practice in Arizona (license number 227684) 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 1811711054.
Provider's Profile
| Full Name | Isabella Anne Melisko |
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| Gender | Female |
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| Speciality | Internal Medicine - Hospice And Palliative Medicine |
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| Location | 1400 S Dobson Rd, Mesa, Arizona |
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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: 1811711054
- Provider Enumeration Date: 11/13/2024
- Last Update Date: 01/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062935984
- Enrollment ID: I20250401000822
Medical Identifiers
Medical identifiers for Isabella Anne Melisko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811711054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LA2100X | Nurse Practitioner - Acute Care | 227684 (Arizona) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 227684 (Arizona) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 227684 (Arizona) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 227684 (Arizona) | 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. Isabella Anne Melisko allows following entities to bill medicare on her behalf.
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
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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. Isabella Anne Melisko 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 |
Isabella Anne Melisko, MSN, AGACNP-BC 1100 E Bell Rd Apt 2026, Phoenix, AZ 85022-3174 Ph: (602) 717-8577 | Isabella Anne Melisko, MSN, AGACNP-BC 1400 S Dobson Rd, Mesa, AZ 85202-4707 Ph: (480) 412-3000 |
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