Healthcare Provider Details

I. General information

NPI: 1811712227
Provider Name (Legal Business Name): MELISSA PAULIN SENIOR PAYER ENROLLM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 N CEDAR ST # 2084
LITITZ PA
17543-1514
US

IV. Provider business mailing address

26 N CEDAR ST # 2084
LITITZ PA
17543-1514
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-7279
  • Fax: 717-544-4296
Mailing address:
  • Phone: 717-544-7279
  • Fax: 717-544-4296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: