Kassondra Mellen, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Mesa, AZ

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Kassondra Mellen, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Mesa, Arizona. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Atlas Medical Aco Llc, Century Care Inc and her current practice location is 1432 S Dobson Rd Ste 301, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 464-9400.

Kassondra Mellen is licensed to practice in Arizona (license number 3773) 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 1245418839.

Contact Information

Kassondra Mellen, PHYSICIAN ASSISTANT
1432 S Dobson Rd Ste 301,
Mesa, AZ 85202-4773
(480) 464-9400
Not Available

Map and Direction




Provider's Profile

Full NameKassondra Mellen
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location1432 S Dobson Rd Ste 301, Mesa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kassondra Mellen graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1245418839
  • Provider Enumeration Date: 02/05/2008
  • Last Update Date: 07/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557447844
  • Enrollment ID: I20080327000041

Medical Identifiers

Medical identifiers for Kassondra Mellen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245418839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 3773 (Arizona)Secondary
363A00000XPhysician Assistant 3773 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aegis Homecare, IncMesa, AZHome health agency
Sweetheart Healthcare LlcChandler, AZHome health agency
Banner Home Care-arizonaMesa, AZHome health agency
Aegis Hospice, Inc.Mesa, AZHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlas Medical Aco Llc145688522750
Century Care Inc397166560551

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. Kassondra Mellen allows following entities to bill medicare on her behalf.
Entity NameNorth Valley Emergency Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285655209
PECOS PAC ID: 4284537416
Enrollment ID: O20040127000856
Entity NameProgressive Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548218613
PECOS PAC ID: 7113829599
Enrollment ID: O20040308001331
Entity NameCentury Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346499324
PECOS PAC ID: 3971665605
Enrollment ID: O20090203000530
Entity NameCep America- Arizona, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780202804
PECOS PAC ID: 1850541970
Enrollment ID: O20121026000403
Entity NameAtlas Medical Aco LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396573705
PECOS PAC ID: 1456885227
Enrollment ID: O20250416003928

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. Kassondra Mellen 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 AddressPractice Location Address
Kassondra Mellen, PHYSICIAN ASSISTANT
1432 S Dobson Rd Ste 301,
Mesa, AZ 85202-4773

Ph: Not Available		Kassondra Mellen, PHYSICIAN ASSISTANT
1432 S Dobson Rd Ste 301,
Mesa, AZ 85202-4773

Ph: (480) 464-9400

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.