Theresa Elizabeth Mellette, DO - Medicare Family Practice in Ronceverte, WV

Theresa Elizabeth Mellette, DO is a medicare enrolled "Family Medicine" physician in Ronceverte, West Virginia. She went to West Virginia School Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Charleston Area Medical Center Inc and her current practice location is 1320 Maplewood Ave, Ronceverte, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 647-4411.

Theresa Elizabeth Mellette is licensed to practice in West Virginia (license number 3100) 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 1922488956.

Contact Information

Theresa Elizabeth Mellette, DO
1320 Maplewood Ave,
Ronceverte, WV 24970-8016
(304) 647-4411
Not Available



Physician's Profile

Full NameTheresa Elizabeth Mellette
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location1320 Maplewood Ave, Ronceverte, West Virginia
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:
  • Theresa Elizabeth Mellette attended and graduated from West Virginia School Of Osteopathic Medicine in 2015
  NPI Data:
  • NPI Number: 1922488956
  • Provider Enumeration Date: 06/04/2015
  • Last Update Date: 01/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921373853
  • Enrollment ID: I20171003006590

Medical Identifiers

Medical identifiers for Theresa Elizabeth Mellette such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922488956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine TRAINING (West Virginia)Secondary
207Q00000XFamily Medicine 3100 (West Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospicecare, IncCharleston, WVHospice
Greenbrier Valley Medical CenterRonceverte, WVHospital
Charleston Area Medical CenterCharleston, WVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Charleston Area Medical Center Inc3375441637675

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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. Theresa Elizabeth Mellette allows following entities to bill medicare on her behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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Entity NameKanawha Hospice Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174556641
PECOS PAC ID: 7416973805
Enrollment ID: O20180102000674

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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. Theresa Elizabeth Mellette 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
Theresa Elizabeth Mellette, DO
1320 Maplewood Ave,
Ronceverte, WV 24970-8016

Ph: () -
Theresa Elizabeth Mellette, DO
1320 Maplewood Ave,
Ronceverte, WV 24970-8016

Ph: (304) 647-4411

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› Verified 4 days ago


Family Medicine Doctors in Ronceverte, WV

Dr. Constance L. Anderson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Maplewood Ave Ste A, Ronceverte, WV 24970
Phone: 304-647-5114    
Dr. Debra R Crites-sams, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1478 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-645-4406    Fax: 304-645-4492
Carolyn Bridgett Morrison, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1320 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-645-1787    
Dr. Jessica Sue Aliff, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-6529    
Leslie Abigail Winters, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 202 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-793-2274    Fax: 304-793-2275
Mrs. Jamie Louise Vance, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1322 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-1139    Fax: 304-647-3006
Joshua Paul Ennis, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1320 Maplewood Ave, Ronceverte, WV 24970
Phone: 304-647-4411    

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