Samantha L Melady, AG-ACNP - Medicare Nurse Practitioner in Charlottesville, VA

Samantha L Melady, AG-ACNP is a medicare enrolled "Nurse Practitioner - Gerontology" physician in Charlottesville, Virginia. Her current practice location is 1215 Lee St, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 243-1000.

Samantha L Melady is licensed to practice in Virginia (license number 0001263486) 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 1205518586.

Contact Information

Samantha L Melady, AG-ACNP
1215 Lee St,
Charlottesville, VA 22908-0816
(434) 243-1000
(434) 244-7551



Physician's Profile

Full NameSamantha L Melady
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location1215 Lee St, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205518586
  • Provider Enumeration Date: 08/04/2023
  • Last Update Date: 11/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325496458
  • Enrollment ID: I20231129002137

Medical Identifiers

Medical identifiers for Samantha L Melady such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205518586NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 0001263486 (Virginia)Secondary
363LG0600XNurse Practitioner - Gerontology 0001263486 (Virginia)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. Samantha L Melady allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Virginia Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138250
PECOS PAC ID: 4880590728
Enrollment ID: O20040102000780

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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. Samantha L Melady 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
Samantha L Melady, AG-ACNP
Po Box 9007,
Charlottesville, VA 22906-9007

Ph: () -
Samantha L Melady, AG-ACNP
1215 Lee St,
Charlottesville, VA 22908-0816

Ph: (434) 243-1000

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