| Kellie Anne Mellon, | |
| 1776 E Lancaster Ave, Paoli, PA 19301-1550 | |
| (610) 647-4366 | |
| Not Available | 
| Full Name | Kellie Anne Mellon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1776 E Lancaster Ave, Paoli, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134553332 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP012992 (Pennsylvania) | Primary | 
| Entity Name | Atlantic Physician Services Of Maryland, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1730129594 PECOS PAC ID: 5193619765 Enrollment ID: O20040504000401 | 
| Entity Name | Manos Family Practice Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801978010 PECOS PAC ID: 4486638533 Enrollment ID: O20040616000201 | 
| Entity Name | Emergency Physician Associates Of Pennsylvania Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1619990900 PECOS PAC ID: 5597663252 Enrollment ID: O20040913000755 | 
| Entity Name | Prospect Health Access Network Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kellie Anne Mellon, 513 Raspberry Ln, West Chester, PA 19382-2252 Ph: (484) 832-6491 | Kellie Anne Mellon, 1776 E Lancaster Ave, Paoli, PA 19301-1550 Ph: (610) 647-4366 | 
| Talia Lagravinese, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1510 Fax: 484-565-1513 | |
| Jamie L Dillinger, C.R.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21 Industrial Blvd, Suite 101, Paoli, PA 19301 Phone: 610-251-0300 Fax: 610-251-0304 | |
| Mrs. Lynn B Wolff, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Paoli, PA 19301 Phone: 484-565-1600 Fax: 610-647-2006 | |
| Angela Foster, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1776 E Lancaster Ave, Paoli, PA 19301 Phone: 610-647-4366 | |
| Mrs. Ashley Schuetz, C.R.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 S Valley Rd Ste 101b, Paoli, PA 19301 Phone: 484-960-5370 | |
| Elizabeth Wray, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 S Valley Rd Ste 101, Paoli, PA 19301 Phone: 267-553-5063 | |
| Hayley Suzann Swanson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Industrial Blvd Ste 103, Paoli, PA 19301 Phone: 610-786-3200 |