Melissa Tsuang Warner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

28 Andover St Ste 1R
Andover, MA 01810-4888

Phone

(978) 475-9230

NPI assigned

Nov 14, 2022

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

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vivaskin Dermatology and AestheticsGroup PAC ID 5799179164, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beth Israel Deaconess Medical Center Hospital, Boston, MA, CCN 220086

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 and National Provider Directory roles.

• Vivaskin Dermatology and Aesthetics

  • Dermatology Physician
  • Wellesley Hills, MA
  • NPI 1245981414
  Medicare reassignment Care Compare group
• Alan Rockoff, M.D, LLC

  • Specialist
  • Brookline, MA
  • NPI 1003959917
  NPD (past)
• Vivaskin Dermatology Surgery Center, PLLC

  • Dermatology Physician
  • Wellesley, MA
  • NPI 1417764523
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beth Israel Deaconess Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1548202641
  Care Compare affiliation

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1457069965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 TAYLOR ST",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024941813",
            "telephone_number": "781-588-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ANDOVER ST STE 1R",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104888",
            "telephone_number": "978-475-9230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Beacon St # 1E",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465587",
            "country_code": "US",
            "telephone_number": "617-731-2390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MELISSA",
        "middle_name": "TSUANG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Wade
• Ross J Walden, PTA
• Alexsis Walter, CNP
• Afeni Wando
• Taylor Craig Ware, LICSW
• Emily Brooke Wasser
• Ronald Kiyoshi Watanabe, OD
• We-Cope Counseling & Consulting LLC
• Dawn D Webber
• Janel Marie Weiner, LICSW

• Physician Assistant in Andover, MA
• Providers in Andover, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.