Melisa Wallace Perry, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Seagrove, North Carolina. Her current practice location is
514 N Broad St, Seagrove, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 873-8045.
Melisa Wallace Perry is licensed to practice in North Carolina (license number 5012013) 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 1669025763.
Provider's Profile
| Full Name | Melisa Wallace Perry |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 514 N Broad St, Seagrove, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669025763
- Provider Enumeration Date: 07/18/2019
- Last Update Date: 01/16/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406186881
- Enrollment ID: I20190927001040
Medical Identifiers
Medical identifiers for Melisa Wallace Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669025763 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 5012013 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5012013 (North Carolina) | 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. Melisa Wallace Perry allows following entities to bill medicare on her behalf.
| Entity Name | American Healthcare Systems Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194310235
PECOS PAC ID: 7719383538
Enrollment ID: O20210916001253 |
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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. Melisa Wallace Perry 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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Melisa Wallace Perry, FNP-C
218 Foust St Ste C,
Asheboro, NC 27203-5476
Ph: (336) 625-2333 | Melisa Wallace Perry, FNP-C
514 N Broad St,
Seagrove, NC 27341
Ph: (336) 873-8045 |
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