Mackenzie Marie Mellum, PA - Medicare Physician Assistant in Farmington, MN

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Mackenzie Marie Mellum, PA is a medicare enrolled "Physician Assistant" in Farmington, Minnesota. Her current practice location is 21260 Chippendale Ave W, Farmington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 463-7181.

Mackenzie Marie Mellum is licensed to practice in Minnesota (license number ) 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 1699403543.

Contact Information

Mackenzie Marie Mellum, PA
21260 Chippendale Ave W,
Farmington, MN 55024-1427
(651) 463-7181
Not Available

Map and Direction




Provider's Profile

Full NameMackenzie Marie Mellum
GenderFemale
SpecialityPhysician Assistant
Location21260 Chippendale Ave W, Farmington, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699403543
  • Provider Enumeration Date: 08/09/2022
  • Last Update Date: 04/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0547639866
  • Enrollment ID: I20221208001964

Medical Identifiers

Medical identifiers for Mackenzie Marie Mellum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699403543NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (Minnesota)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. Mackenzie Marie Mellum 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
Mackenzie Marie Mellum, PA
21260 Chippendale Ave W,
Farmington, MN 55024-1427

Ph: (651) 463-7181		Mackenzie Marie Mellum, PA
21260 Chippendale Ave W,
Farmington, MN 55024-1427

Ph: (651) 463-7181

Reviews and Comments


Physician Assistant Nurses in Farmington, MN

Ms. Alexis Joan Peterson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 19685 Pilot Knob Rd, Farmington, MN 55024
Phone: 651-463-5100    
Grace Welter,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5944 188th St W, Farmington, MN 55024
Phone: 651-324-6124    

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.