Melissa Radcliffe, APNP in South Salt Lake, UT

Melissa Radcliffe, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in South Salt Lake, Utah. Her current practice location is 3780 S West Temple Ste 200, South Salt Lake, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 970-4205.

Melissa Radcliffe is licensed to practice in Utah (license number 294542-4405) 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 1992356240.

Contact Information

	Melissa Radcliffe, APNP
	3780 S West Temple Ste 200, South Salt Lake, UT 84115-4515
	(801) 970-4205
	(385) 202-3097

Map and Direction

Provider's Profile

Full Name	Melissa Radcliffe
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3780 S West Temple Ste 200, South Salt Lake, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992356240
Provider Enumeration Date: 09/26/2019
Last Update Date: 07/16/2025

Medicare PECOS Information:

PECOS PAC ID: 6103244306
Enrollment ID: I20200921002538

Medical Identifiers

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

Identifier	Type	State	Issuer
1992356240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	294542-4405 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	294542-4405 (Utah)	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 Radcliffe allows following entities to bill medicare on her behalf.

Entity Name	Odyssey House Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033143706 PECOS PAC ID: 2365458833 Enrollment ID: O20060222000116

Entity Name	Sunshine Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992569701 PECOS PAC ID: 3476087115 Enrollment ID: O20241118000515

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 Radcliffe 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 Radcliffe, APNP 3780 S West Temple Ste 200, South Salt Lake, UT 84115-4515 Ph: (801) 970-4205	Melissa Radcliffe, APNP 3780 S West Temple Ste 200, South Salt Lake, UT 84115-4515 Ph: (801) 970-4205

Reviews and Comments

Nurse Practitioner Nurses in South Salt Lake, UT

Jennifer Michelle Sorto, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Jennifer Nicole Twohig, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Adam Thomas Creer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2880 S Main St Ste 108, South Salt Lake, UT 84115 Phone: 240-356-1000
Kristen Cox, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 571 E Farmer Alumni Dr, South Salt Lake, UT 84106 Phone: 385-227-2897
Zhan Wang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3702 S State St Ste 107, South Salt Lake, UT 84115 Phone: 801-288-2634 Fax: 801-288-1186
Leigh-andrew Thomas Sampson-seitz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3269 S Main St Ste 220, South Salt Lake, UT 84115 Phone: 801-656-7124 Fax: 385-243-3021
Dr. Emily Elizabeth Barrows, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 447 W Bearcat Dr, South Salt Lake, UT 84115 Phone: 801-355-2846

Melissa Radcliffe, APNP - Medicare Nurse Practitioner in South Salt Lake, UT