Dr Melissa Martell Senior, PHD is a medicare enrolled "Psychologist - Health Service" provider in Windham, New Hampshire. Her current practice location is
15 Autumn St, Windham, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(984) 332-6448.
Dr Melissa Martell Senior is licensed to practice in New Hampshire (license number 6912) 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 1104460807.
Healthcare Provider's Profile
| Full Name | Dr Melissa Martell Senior |
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| Gender | Female |
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| Speciality | Psychologist - Health Service |
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| Location | 15 Autumn St, Windham, New Hampshire |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104460807
- Provider Enumeration Date: 11/05/2019
- Last Update Date: 10/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244746493
- Enrollment ID: I20250723002664
Medical Identifiers
Medical identifiers for Dr Melissa Martell Senior such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104460807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TH0100X | Psychologist - Health Service | 5588 (North Carolina) | Secondary |
| 103TH0100X | Psychologist - Health Service | 6912 (New Hampshire) | 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. Dr Melissa Martell Senior allows following entities to bill medicare on her behalf.
| Entity Name | Jtsj1 Enterprises LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801589759 PECOS PAC ID: 9537515689 Enrollment ID: O20231025001447 |
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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. Dr Melissa Martell Senior 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 |
Dr Melissa Martell Senior, PHD 15 Autumn St, Windham, NH 03087-1705 Ph: (984) 332-6448 | Dr Melissa Martell Senior, PHD 15 Autumn St, Windham, NH 03087-1705 Ph: (984) 332-6448 |
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