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1609850775

NPI Code Detail

MEDICARE: MICHAEL S MELTON MD

MEDICARE: MICHAEL S MELTON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME90790	FL
2	207Q00000X	Family Medicine Physician	MD201470	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00185798	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7159625	OTHER	FL	AETNA
2	9227094002	OTHER	FL	CIGNA
3	48499	OTHER	FL	BLUE CROSS BLUE SHIELD
5	244227	OTHER	FL	WELLCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	3570709	OTHER	FL	AETNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609850775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S MELTON MD

Provider Business Mailing Address
First Line	:	2500 NE NEFF RD
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-6015
Country	:	US
Telephone Number	:	541-382-4321
Fax Number	:

Provider Business Practice Location Address
First Line	:	61250 SE COOMBS PL
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97702-3704
Country	:	US
Telephone Number	:	541-706-5930
Fax Number	:	541-706-5931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2005
Last Update Date	:	09/30/2022

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Directions to “ MICHAEL S MELTON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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