MELISSA BOUCHER DENNISON MD
NPI 1659354892
Pediatrics in Glasgow, KY

Q: What is Melissa Dennison's NPI number?

The NPI number for Melissa Dennison is 1659354892. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Melissa Dennison's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Dennison was last updated on May 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 22, 2005PECOS Enrolled

301 PROFESSIONAL PARK DR, GLASGOW, KY 42141(270) 651-9696(270) 651-0385 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Melissa Boucher Dennison Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA BOUCHER DENNISON MD (NPI 1659354892) is an individual pediatrics provider in Glasgow, Kentucky, licensed in Kentucky (KY28593) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659354892

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMELISSA BOUCHER DENNISONCredential: MD

Location Address301 PROFESSIONAL PARK DRGlasgow, KY 42141-3487

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 864-1693

Phone(270) 651-9696

Fax(270) 651-0385

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateMay 5, 2014

✔ NPI 1659354892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · KY28593

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

301 PROFESSIONAL PARK DR, Glasgow, KY 42141

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Other Identifiers 3

Medicaid64285935KY

Medicare PINK085420KY

Medicare UPINE07601

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Boucher Dennison Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER WRIGHT HOPKINS MD

Pediatrics