Melanie Elizabeth Fillian, PA
Individual provider Active NPI Physician Assistant · Stirling, NJ
NPI 1487975256 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1487975256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00241900 (NJ)
- Practice address
- 11 Country LN
Stirling, NJ 07980-1245 - Phone
- (603) 505-7732
- NPI assigned
- Jun 16, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11 Country LN
Stirling, NJ 07980-1245
2006 Wayne Memorial Dr
Goldsboro, NC 27534-1720
PO Box
Suite 5898
Austin, TX 78763-5898
PO Box
Suite 791
Carnegie, PA 15106-0791
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240725003516 | TX | Practitioner - Physician Assistant | 7214123231 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Wound and Skin Care Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00241900 | NJ | Yes |
Addresses
Primary practice location
11 Country LN
Stirling, NJ 07980-1245
Mailing address
11 Country LN
Stirling, NJ 07980-1245
Phone (603) 505-7732
Other providers in Stirling, NJ
- Debra Eichner
- Deland Eng
- Crystal Ann Evans
- Every Child
- Jeannine Baer Feinstein
- Food for Mood Functional Nutrition, LLC
- Hazel Leanne Fraiter
- Jessica Ann Fredericks
- Robert John Garofalo
- Marlene Ginzburg-Karpas
All providers in Stirling, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.