MEDICARE: MELANIE CHRISTINE EIX PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1518812619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE CHRISTINE EIX PA-C

Provider Business Mailing Address
First Line	:	170 W WASHINGTON CENTER RD APT B
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-4328
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11108 PARKVIEW CIRCLE DR
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46845-1730
Country	:	US
Telephone Number	:	260-266-5700
Fax Number	:

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

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/12/2026

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