MELISSA LYNN HEATH MD
NPI 1134170095
Obstetrics & Gynecology in Brewton, AL

NPI Status: Active since May 15, 2006

Contact Information

1121 BELLEVILLE AVE
BREWTON, AL
ZIP 36426
Phone: (251) 867-6071
Fax: (251) 867-5999

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  • Individual
  • Female
  • Years of Experience 22
  • Obstetrics & Gynecology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MELISSA HEATH

Melissa Heath is a women's health care provider established in Brewton, Alabama and her medical specialization is Obstetrics & Gynecology with more than 22 years of experience. She graduated from University Of Alabama School Of Medicine in 2002. The healthcare provider is registered in the NPI registry with number 1134170095 assigned on May 2006. The practitioner's primary taxonomy code is 207V00000X with license number 000027359 (AL). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1134170095
Provider Name
MELISSA LYNN HEATH MD
Gender
Female
Entity Type
Individual
Location Address
1121 BELLEVILLE AVE BREWTON, AL 36426
Location Phone
(251) 867-6071
Location Fax
(251) 867-5999
Mailing Address
PO BOX 648 BREWTON, AL 36427
Mailing Phone
(251) 867-6071
Mailing Fax
(251) 867-5999
Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
05-15-2006
Last Update Date
10-15-2007
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Women's health care providers like Melissa Heath treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.26 for a new patient copayment and $17.46 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
License No.
000027359
License State
AL
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
    • Clear Silver with Walgreens - HMO
    • Clear Silver with Walgreens + Vision + Adult Dental - HMO
    • Complete Gold with Walgreens - HMO
    • Complete Gold with Walgreens + Vision + Adult Dental - HMO
    • Complete Silver with Walgreens - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
  • Ambetter from Sunshine Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • Blue Cross and Blue Shield of Alabama

    • Blue Cross Select Gold - PPO
    • Blue Cross Select Silver - PPO
    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Standardized Bronze - PPO
    • Blue Standardized Gold - PPO
    • Blue Standardized Silver - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Essential ($0 Virtual Urgent Care, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Standard (No Referrals) - EPO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Bronze Value HSA (No Referrals) - EPO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) - EPO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Gold Standard (No Referrals) - EPO
    • UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
009938412MEDICAID (05)AL 
I56062MEDICARE UPIN (02)AL 

PECOS Enrollment and Medicare Participation Status

Melissa Heath is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8921001561

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060821000237

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 36426 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $129.05
  • Minimum New Patient Price $55.54
  • Maximum New Patient Price $170.61
  • Average New Patient Copayment $32.26
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $42.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.84
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $139.08
  • Average Established Patient Copayment $17.46
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $34.77

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

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 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 19

    Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melissa Heath is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
FLOWERS HOSPITAL4370 WEST MAIN STREET
DOTHAN, AL 36305
(334) 793-5000Acute Care Hospitals

Reviews for MELISSA LYNN HEATH MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134170095
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164270018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 0 + 0 + 1 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1134170095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699747469 WILLIAM HERMAN WHITTLE M.D.
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3120
1508839754 ROBERT SCOTT NELSON M. D.
Individual
Emergency Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1356314140 MARK EDWARD ROBINSON M. D.
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3160
1336196856BREWTON MEDICAL CENTER, LLC
Organization
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1356364459 JIMMY WAYNE ADKISSON DO
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1871601427DR. ROBERT ANTHONY DEFRANCISCO PHD
Individual
Psychologist (Clinical)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3290
1053410977MR. CHARLES DANIEL COTTRELL R.PH.
Individual
Pharmacist1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-5454
1255405254BREWTON MEDICAL CENTER PHARMACY
Organization
Durable Medical Equipment & Medical Supplies1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-5454
1437280062DR. MARINA LYNN THOMPSON M.D.
Individual
Pediatrics1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1265639348BREWTON MEDICAL CENTER PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-5454
1497918999PULMONARY ASSOCIATES OF MOBILE, PC
Organization
Internal Medicine (Pulmonary Disease)1121 BELLEVILLE AVE SUITE B
BREWTON, AL 36426
(251) 445-4797
1023446507BERRYHILL ORTHOPAEDICS PA
Organization
Orthopaedic Surgery1121 BELLEVILLE AVE
BREWTON, AL 36426
(850) 626-1461
1265762066MRS. KENDI ELISE KIRBY PA-C
Individual
Physician Assistant1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240
1124214770 DEANAH MAXWELL MD
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3220
1003299074 MAMIE KENNEDY CRNP
Individual
Nurse Practitioner (Family)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3208
1902399702 ANGELICA WILLIAMS
Individual
Nurse Practitioner (Family)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1184280067THE LISTENING PLACE LLC
Organization
Community/Behavioral Health1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 236-7076
1750354544DR. JOE F TERRELL M. D.
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3130
1720533011 SUMMER LODUCA LPC
Individual
Counselor (Mental Health)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240
1467060954LODUCA PEDIATRICS, LLC
Organization
Pediatrics1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134170095, enumerated in the NPI registry as an "individual" on May 15, 2006

The provider is located at 1121 Belleville Ave Brewton, Al 36426 and the phone number is (251) 867-6071

The provider's speciality is Obstetrics & Gynecology with taxonomy code 207V00000X

The provider has more than 22 years of experience. She graduated from University Of Alabama School Of Medicine in 2002.

The provider might be accepting Accepts: Ambetter from Magnolia Health, Ambetter from Peach. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

Medicare beneficiaries should expect a typical cost of $129.05 with an average copayment of $32.26 for new patient appointments. Established patients should expect a typical charge of $69.84 and an average copayment of 17.46. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination.

The practitioner is affiliated to the following hospital(s): FLOWERS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.