MISS MELISSA DEDMOND BOOTHE RN, PA-C NPI 1023298163

Physician Assistant in Charlotte, NC

NPI 1023298163 Individual Female Years of Experience 14 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

About MELISSA BOOTHE

Melissa Boothe is a primary care provider established in Charlotte, North Carolina and her medical specialization is physician assistant with more than 14 years of experience. The NPI number of Melissa Boothe is 1023298163 and was assigned on November 2007. The practitioner's primary taxonomy code is 363A00000X with license number 0010-01104 (NC). The provider is registered as an individual and her NPI record was last updated 9 years ago.

A primary care provider (PCP) like Miss Melissa Dedmond Boothe Rn, Pa-c sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Melissa Boothe is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Melissa Boothe is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1023298163

Provider NameMISS MELISSA DEDMOND BOOTHE RN, PA-C
Provider Location Address2630 EAST SEVENTH STREET SUITE 200 CHARLOTTE, NC 28204
Provider Mailing Address2630 E SEVENTH ST SUITE 200 CHARLOTTE, NC 28204
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-06-2007
Last Update Date09-27-2012


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.0010-01104
License StateNC
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

MISS MELISSA DEDMOND BOOTHE RN, PA-C
2630 EAST SEVENTH STREET
SUITE 200
CHARLOTTE, NC
ZIP 28204
Phone: (704) 364-6110
Fax: (704) 364-4245

Get Directions


Mailing Address

MISS MELISSA DEDMOND BOOTHE RN, PA-C
2630 E SEVENTH ST
SUITE 200
CHARLOTTE, NC
ZIP 28204
Phone: (704) 364-6110
Fax: (704) 364-4245



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID7416039664
PECOS Enrollment IDI20080128000521
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 481Destruction of 2-14 skin growths (HCPCS:17003)
  • 151Destruction of skin growth (HCPCS:17000)
  • 128Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 110Destruction of up to 14 skin growths (HCPCS:17110)
  • 29Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 21Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740647783MRS. SAMANTHA STARKEY D'ALESSANDRO PA-C
Individual
Physician Assistant2630 EAST SEVENTH STREET SUITE 200
CHARLOTTE, NC 28204
(704) 364-6110
1538513080MRS. STEPHANIE MEINERS WEAVER PA-C
Individual
Physician Assistant2630 EAST SEVENTH STREET SUITE 200
CHARLOTTE, NC 28204
(704) 364-6110
1407395056MR. BRANNON F. PUETT PA-C
Individual
Physician Assistant2630 EAST SEVENTH STREET SUITE 200
CHARLOTTE, NC 28204
(704) 364-6110

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.