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Kristin Mellon

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

200 Lothrop St, Suite B400, Pittsburgh, PA 15213-2536

PECOS Enrollment

Based on the most recent information from CMS, provider Kristin Mellon 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 5 days ago.

Profile Details

Provider ID
1750820460
Provider Type
Individual
Full Name
Mellon, Kristin
Gender
Female

Sole Proprietor
No
Enumeration Date
2/14/2017
Last Updated
5/24/2021

Contact Information

Practice Location

200 Lothrop St, Suite B400, Pittsburgh, PA 15213-2536

(412) 647-4203

Unlisted Fax

Mailing Location

200 Lothrop St, Suite B400, Pittsburgh, PA 15213-2536

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License MA058818 Pennsylvania

Kristin Mellon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bash, Braeden

Kraemer, Madison

Kostka, Rebecca Marie

Minsinger, Chelsea

Kundick, Jennifer

Hempelmann, Jennifer

Kunkle, Lauren

Stoll, Isabella Marie

Martin, Jaclyn E

Mcginley, Maura