| Melody Elist, PA-C | |
|
8264 Santa Monica Blvd, West Hollywood, CA 90046-5915 | |
| (323) 522-2222 | |
| (323) 654-2221 |
| Full Name | Melody Elist |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 8264 Santa Monica Blvd, West Hollywood, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154699353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA21954 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primcare Medical Center Inc | 5092204735 | 3 |
| Sls Medical Center Pmc | 2860960994 | 2 |
| Entity Name | Primcare Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033082318 PECOS PAC ID: 5092204735 Enrollment ID: O20251031001347 |
| Entity Name | Sls Medical Center Pmc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174479539 PECOS PAC ID: 2860960994 Enrollment ID: O20260507001039 |
| Mailing Address | Practice Location Address |
|---|---|
| Melody Elist, PA-C 8264 Santa Monica Blvd, West Hollywood, CA 90046-5915 Ph: (323) 522-2222 | Melody Elist, PA-C 8264 Santa Monica Blvd, West Hollywood, CA 90046-5915 Ph: (323) 522-2222 |
Daniel Louis Fazzino, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8280 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 203-217-1746 |
Nicolas Kyle Leachman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7531 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 323-988-1400 |
Bernadette Beatrice Gonzalez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 |
Briana Fabienne Beghi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 |
Tess Gording, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 |
Gabrielle Schore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-8780 |
Mr. Melvin Yvanny Valle-amaya, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8280 Santa Monica Blvd, West Hollywood, CA 90046 Phone: 424-245-3486 |