Michael W Mellon, PHD - Medicare Psychologist in Cincinnati, OH

Michael W Mellon, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cincinnati, Ohio. His current practice location is 3333 Burnet Avenue, Ml 5021, Cincinnati, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 636-4225.

Michael W Mellon is licensed to practice in Ohio (license number 6611) 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 1023088804.

Contact Information

Michael W Mellon, PHD
3333 Burnet Avenue, Ml 5021,
Cincinnati, OH 45229-3039
(513) 636-4225
(513) 636-2511



Healthcare Provider's Profile

Full NameMichael W Mellon
GenderMale
SpecialityPsychologist - Clinical
Location3333 Burnet Avenue, Cincinnati, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023088804
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 03/31/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7911055173
  • Enrollment ID: I20100609000195

Medical Identifiers

Medical identifiers for Michael W Mellon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023088804NPI-NPPES
811579600MedicaidMN
680011889OtherMNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6611 (Ohio)Primary
103TC2200XPsychologist - Clinical Child & Adolescent LP4195 (Minnesota)Secondary

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. Michael W Mellon allows following entities to bill medicare on his behalf.
Entity NameChildren's Hospital Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609915784
PECOS PAC ID: 8426955733
Enrollment ID: O20031216000035

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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. Michael W Mellon 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
Michael W Mellon, PHD
3333 Burnet Avenue, Ml 3015,
Cincinnati, OH 45229-3039

Ph: (513) 636-4336
Michael W Mellon, PHD
3333 Burnet Avenue, Ml 5021,
Cincinnati, OH 45229-3039

Ph: (513) 636-4225

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Psychologist in Cincinnati, OH

Gerald B Powell, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1118 Ryalnd Ave, Cincinnati, OH 45237
Phone: 513-242-3894    Fax: 440-243-6530
Diane Patricia Castelli, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1101 Summit Rd, Cincinnati, OH 45237
Phone: 513-948-3600    
Heather Strong Harrison, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 3333 Burnet Ave, Ml3015, Cincinnati, OH 45229
Phone: 513-636-4336    Fax: 513-636-7756
Dr. Donna Marie Maier, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 743 Reynard Ave, Cincinnati, OH 45231
Phone: 513-739-8705    Fax: 937-848-2080
Rachelle Ann Sekerka, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Vine St, 116b, Cincinnati, OH 45220
Phone: 513-475-6402    
Dr. Molly W Nemann, EDD LICENSED PSYCHOL
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2480 Walnut View Court, Cincinnati, OH 45230
Phone: 513-233-3998    Fax: 513-233-3998
Dr. James Esmail, PSY.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1101 Summit Rd, Cincinnati, OH 45237
Phone: 513-948-3721    

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