| Dr Melissa Marie Enevoldsen, OD | |
|
6708 Raytown Rd, Raytown, MO 64133-5272 | |
| (816) 353-1872 | |
| Not Available |
| Full Name | Dr Melissa Marie Enevoldsen |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 13 Years |
| Location | 6708 Raytown Rd, Raytown, Missouri |
| 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 |
|---|---|---|---|
| 1396092961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1926 (Kansas) | Primary |
| 152W00000X | Optometrist | 2012017234 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paige Hedgpath Odpc | 5991856460 | 25 |
| Provider Name | Advanced Eyecare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679510655 PECOS PAC ID: 3870539232 Enrollment ID: O20050707000454 |
| Provider Name | Paige Hedgpath Odpc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962644732 PECOS PAC ID: 5991856460 Enrollment ID: O20090623000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa Marie Enevoldsen, OD 6708 Raytown Rd, Raytown, MO 64133-5272 Ph: (816) 353-1872 | Dr Melissa Marie Enevoldsen, OD 6708 Raytown Rd, Raytown, MO 64133-5272 Ph: (816) 353-1872 |
Dr. Lawrence D Reed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 | |
Dr. Dana Janel Krause, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 | |
Charles A Banks, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 | |
Dr. Melanie Lynn Linderer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6708 Raytown Road, Raytown, MO 64133 Phone: 816-353-1872 Fax: 816-353-5022 | |
Dr. Christine L Mitts, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6708 Raytown Rd, Raytown, MO 64133 Phone: 816-353-1872 | |
Dr. Steven L Padget, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9507 E 63rd St, Suite 101, Raytown, MO 64133 Phone: 816-356-5520 Fax: 816-356-2150 |