Shayna Mellesmoen, OD - Medicare Optometrist in Bloomington, MN

Shayna Mellesmoen, OD is a medicare enrolled "Optometrist" provider in Bloomington, Minnesota. She went to Illinois College Of Optometry At Chicago and graduated in 2023 and has 2 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Visionary Eye Care Pa and her current practice location is 9117 Lyndale Ave S, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 835-1235.

Shayna Mellesmoen is licensed to practice in Minnesota (license number 3883) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104503382.

Contact Information

Shayna Mellesmoen, OD
9117 Lyndale Ave S,
Bloomington, MN 55420-3522
(952) 835-1235
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShayna Mellesmoen
GenderFemale
SpecialityOptometry
Experience2 Years
Location9117 Lyndale Ave S, Bloomington, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shayna Mellesmoen attended and graduated from Illinois College Of Optometry At Chicago in 2023
  NPI Data:
  • NPI Number: 1104503382
  • Provider Enumeration Date: 06/29/2023
  • Last Update Date: 06/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9436513249
  • Enrollment ID: I20230913000332

Medical Identifiers

Medical identifiers for Shayna Mellesmoen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104503382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3883 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Visionary Eye Care Pa90324559368

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. Shayna Mellesmoen allows following entities to bill medicare on her behalf.
Provider NameElton Eyecare Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1811430226
PECOS PAC ID: 9032455936
Enrollment ID: O20190115000305

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. Shayna Mellesmoen 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 AddressPractice Location Address
Shayna Mellesmoen, OD
8115 2nd Ave S,
Bloomington, MN 55420-1211

Ph: (952) 686-4553
Shayna Mellesmoen, OD
9117 Lyndale Ave S,
Bloomington, MN 55420-3522

Ph: (952) 835-1235

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.