Melissa Penn, CNM in Gallup, NM - Medicare Advanced Practice Midwife

Melissa Penn, CNM is a medicare enrolled "Advanced Practice Midwife" in Gallup, New Mexico. Her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Melissa Penn is licensed to practice in Kentucky (license number 3008763) 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 1720489933.

Contact Information

	Melissa Penn, CNM
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Melissa Penn
Gender	Female
Speciality	Advanced Practice Midwife
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720489933
Provider Enumeration Date: 09/07/2014
Last Update Date: 09/07/2014

Medicare PECOS Information:

PECOS PAC ID: 8224259551
Enrollment ID: I20141029002061

Medical Identifiers

Medical identifiers for Melissa Penn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720489933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	3008763 (Kentucky)	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. Melissa Penn allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Melissa Penn 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
Melissa Penn, CNM 516a W Mesa Ave, Gallup, NM 87301-6466 Ph: (502) 327-0108	Melissa Penn, CNM 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Advanced Practice Midwife Nurses in Gallup, NM

Mallory Anne Martini, ARNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Becky Lynn Anton, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 516 E. Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Adrienne Machelle Christner, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Linda Van Asselt-king, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200
Kizzie Ricks, MSN, CNM, ARNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1771
Mary M. Forlines, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-7200

Melissa Penn, CNM - Medicare Advanced Practice Midwife in Gallup, NM