Mrs Melanie Jean Koumentakos, PA C - Medicare Physician Assistant in Enfield, CT

Mrs Melanie Jean Koumentakos, PA C is a medicare enrolled "Physician Assistant" in Enfield, Connecticut. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hillside Dermatology Pc and her current practice location is 113 Elm St, Suite 304, Enfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 741-2225.

Mrs Melanie Jean Koumentakos is licensed to practice in Connecticut (license number 001905) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1295925956.

Contact Information

Mrs Melanie Jean Koumentakos, PA C
113 Elm St, Suite 304,
Enfield, CT 06082
(860) 741-2225
(860) 741-2229



Provider's Profile

Full NameMrs Melanie Jean Koumentakos
GenderFemale
SpecialityPhysician Assistant
Experience28 Years
Location113 Elm St, Enfield, Connecticut
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Melanie Jean Koumentakos graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1295925956
  • Provider Enumeration Date: 07/30/2007
  • Last Update Date: 03/27/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4486749124
  • Enrollment ID: I20170124001990

Medical Identifiers

Medical identifiers for Mrs Melanie Jean Koumentakos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295925956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 001905 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baystate Medical CenterSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hillside Dermatology Pc39719830736

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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. Mrs Melanie Jean Koumentakos 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
Mrs Melanie Jean Koumentakos, PA C
113 Elm St, Suite 304,
Enfield, CT 06082

Ph: (860) 741-2225
Mrs Melanie Jean Koumentakos, PA C
113 Elm St, Suite 304,
Enfield, CT 06082

Ph: (860) 741-2225

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Physician Assistant Nurses in Enfield, CT

Mrs. Melissa D'amato, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 140 Hazard Ave Ste 105, Enfield, CT 06082
Phone: 860-714-9733    Fax: 860-714-8136
Mrs. Lori Ann Bryon, PA C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 170 Hazard Ave, Enfield, CT 06082
Phone: 860-749-2022    
Madeline Murphy, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 170 Hazard Ave, Enfield, CT 06082
Phone: 860-749-2022    Fax: 860-763-1398
Mrs. Sarah Leigh Lasala, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 113 Elm St Ste 304, Enfield, CT 06082
Phone: 860-741-2225    Fax: 860-741-2229
Julie M Wondolowski, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 701 Enfield St, Enfield, CT 06082
Phone: 860-741-6058    Fax: 860-741-6864
Kaitlin G. Pulito, P.A.-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 701 Enfield Street, Enfield, CT 06082
Phone: 860-741-6058    Fax: 860-741-6864

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