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Melissa Haikal Bevins

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

7903 Providence Road, Charlotte, NC 28277

PECOS Enrollment

This provider is enrolled in PECOS as MELISSA BEVINS.

Based on the most recent information from CMS, provider Melissa Haikal Bevins is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1144313172
Provider Type
Individual
Full Name
Bevins, Melissa Haikal
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
10/2/2006
Last Updated
10/12/2023

Contact Information

Practice Location

7903 Providence Road, Charlotte, NC 28277

(704) 248-5101

(704) 971-0035

Mailing Location

PO Box 37938, Charlotte, NC 28237-7938

(704) 332-0396

(704) 971-0035

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 01088 West Virginia

Provider Identifiers

ID	Description	Issuer
ID 1009PA	Description Medicaid	Issuer Unlisted South Carolina

Melissa Haikal Bevins

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Tomlinson, Blair Strandberg

Kenney, Ethan Raymond

Reid, Alan J.

Patel, Hershal

Whitman, Kyle Phillip

Snow, Matthew Raymond

Paris, Melissa Lynn

Cutler, Rebecca Alexandra

Swope, William

Diakalela, Sydney Thames