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MELANIE B ILLICH MD
NPI 1982893665
Psychiatry & Neurology - Psychiatry in Waco, TX

Active since October 18, 2007Opted out of Medicare · through Oct 1, 2027
5010 LAKELAND CIRCLE, SUITE B, WACO, TX 76710(254) 776-3486(254) 776-8466 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Melanie B Illich Md NPPES

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

MELANIE B ILLICH MD (NPI 1982893665) is an individual psychiatry provider in Waco, Texas, licensed in Texas (J2104) and active in the NPI registry since October 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982893665
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMELANIE B ILLICHCredential: MD
Location Address5010 LAKELAND CIRCLE, SUITE BWaco, TX 76710-2981
Mailing Address5010 Lakeland Circle, Suite BWaco, TX 76710-2981 · (254) 776-3486 · Fax (254) 776-8466
Phone(254) 776-3486
Fax(254) 776-8466
Sole ProprietorYes
Enumeration DateOctober 18, 2007
Last NPPES UpdateJanuary 3, 2021
NPPES CertifiedJanuary 3, 2021
✔ NPI 1982893665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · J2104
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
5010 LAKELAND CIRCLE, Waco, TX 76710
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Other Identifiers 3

Medicaid113408204TX
Other00291GTX · Bcbs
OtherG08042TX · Upin

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melanie B Illich Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2011 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2011
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76710 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ULTRA HYDRO VASCULAR SYSTEMS LLC
Physiological Laboratory
5010 LAKELAND CIRCLE, SUITE B
WACO, TX 76710
McLennan County (254) 230-8296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Illich's NPI number?

The NPI number for Melanie Illich is 1982893665. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Where is Melanie Illich located?

Melanie Illich practices at 5010 Lakeland Circle Suite B, Waco, TX 76710. The listed phone number is (254) 776-3486.

What is Melanie Illich's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Melanie Illich enrolled in Medicare?

No. Melanie Illich has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Melanie Illich was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.