Mr Vladislav Melnichenko, NP in Anaheim, CA - Medicare Nurse Practitioner

Mr Vladislav Melnichenko, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Anaheim, California. He graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Healthier Lifestyle Medical Group Inc, Sun Medical Group Inc and his current practice location is 1711 W Katella Ave, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at (714) 400-2959.

Mr Vladislav Melnichenko is licensed to practice in California (license number NP21140) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1528348273.

Contact Information

	Mr Vladislav Melnichenko, NP
	1711 W Katella Ave, Anaheim, CA 92804-6450
	(714) 400-2959
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Vladislav Melnichenko
Gender	Male
Speciality	Nurse Practitioner
Experience	14 Years
Location	1711 W Katella Ave, Anaheim, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Vladislav Melnichenko graduated from nursing school in 2011

NPI Data:

NPI Number: 1528348273
Provider Enumeration Date: 08/25/2011
Last Update Date: 02/18/2025

Medicare PECOS Information:

PECOS PAC ID: 3072784420
Enrollment ID: I20120130000845

Medical Identifiers

Medical identifiers for Mr Vladislav Melnichenko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528348273	NPI	-	NPPES
HE356A	Other	CA	NORTHERN MCAR PIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	NP21140 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthier Lifestyle Medical Group Inc	1355742453	5
Sun Medical Group Inc	8426388810	16

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. Mr Vladislav Melnichenko allows following entities to bill medicare on his behalf.

Entity Name	Sun Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114588704 PECOS PAC ID: 8426388810 Enrollment ID: O20190927001371

Entity Name	Healthier Lifestyle Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902421480 PECOS PAC ID: 1355742453 Enrollment ID: O20210628000698

Entity Name	Firstchoice Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912610775 PECOS PAC ID: 1456893031 Enrollment ID: O20240611002019

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. Mr Vladislav Melnichenko 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
Mr Vladislav Melnichenko, NP 625 S Fair Oaks Ave Ste 245, Pasadena, CA 91105-2665 Ph: (626) 229-9865	Mr Vladislav Melnichenko, NP 1711 W Katella Ave, Anaheim, CA 92804-6450 Ph: (714) 400-2959

Reviews and Comments

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Mr Vladislav Melnichenko, NP - Medicare Nurse Practitioner in Anaheim, CA