Andrea R Melvin, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA802 Issued in KY

Practice address

2601 Kentucky Ave
Ste 301
Paducah, KY 42003-3817

Phone

(270) 575-3113

Fax

(270) 575-3135

NPI assigned

Nov 16, 2005

Last updated

Mar 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Kentucky Cardiology Consultants, PSC

  dba The Heart Group

  • Clinic/Center
  • Paducah, KY
  • NPI 1891806899
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1336121433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7648",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027648",
            "telephone_number": "270-575-3113",
            "fax_number": "270-575-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 KENTUCKY AVE",
            "address_2": "STE 301",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033817",
            "telephone_number": "270-575-3113",
            "fax_number": "270-575-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVIN",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9500390100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000512695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "862893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Van Tran Meeks, M.D.
• Elizabeth Meggs
• Sunny Mehrotra, M.D.
• Jessie Meiser
• Heather Melton
• Mem of Kentucky, Inc. (Morefield Chiropractic Center)
• Michael Tetteh Nartey Mensah, MD
• Mercy Health Ky Urgent Care LLC
• Mercy Health Physicians Kentucky LLC
• Mercy Health Physicians Kentucky Specialty Care LLC (Mercy Health - Paducah Orthopedics)

• Physician Assistant in Paducah, KY
• Providers in Paducah, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.