Mackenzie Marie Mellum, PA is a medicare enrolled "Physician Assistant" in Farmington, Minnesota. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Allina Health System and 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
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 1699403543.
Provider's Profile
| Full Name | Mackenzie Marie Mellum |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 21260 Chippendale Ave W, Farmington, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mackenzie Marie Mellum graduated from nursing school in 2022
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.
| Identifier | Type | State | Issuer |
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| 1699403543 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allina Health System | 4587573613 | 3584 |
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 Address | Practice Location Address |
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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 |
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