Melvin Raun Child, PA in Fillmore, UT - Medicare Physician Assistant Provider

Melvin Raun Child, PA is a medicare enrolled "Physician Assistant" provider in Fillmore, Utah. His current practice location is 150 E 500 N, Fillmore, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 979-2487.

Melvin Raun Child is licensed to practice in Utah (license number 106923-1206) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972531119.

Contact Information

	Melvin Raun Child, PA
	150 E 500 N, Fillmore, UT 84631-3514
	(435) 979-2487
	Not Available

Healthcare Provider's Profile

Full Name	Melvin Raun Child
Gender	Male
Speciality	Physician Assistant
Location	150 E 500 N, Fillmore, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972531119
Provider Enumeration Date: 06/28/2006
Last Update Date: 10/02/2023

Medicare PECOS Information:

PECOS PAC ID: 2668379975
Enrollment ID: I20031215001003

Medical Identifiers

Medical identifiers for Melvin Raun Child such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972531119	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
363A00000X	Physician Assistant	106923-1206 (Utah)	Primary

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. Melvin Raun Child 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
Melvin Raun Child, PA Po Box 842, Fillmore, UT 84631-0842 Ph: (435) 979-2487	Melvin Raun Child, PA 150 E 500 N, Fillmore, UT 84631-3514 Ph: (435) 979-2487

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Melvin Raun Child, PA - Medicare in Fillmore, UT