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DR. GRACE M SALLY MELLGREN M.D. NPI 1184709339


NPI Information

NPI: 1184709339
Provider Name: DR. GRACE M SALLY MELLGREN, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
342 SHERRILL LN
ROSWELL, NM
ZIP 88201
Phone: (575) 625-0123
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DR. Grace M Sally Mellgren, M.D. is an ophthalmology in Roswell, NM with 41 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Grace M Sally Mellgren, M.D. NPI is 1184709339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1983

The provider's business location address is:

342 SHERRILL LN
ROSWELL, NM
ZIP 88201-819
Phone: (575) 625-0123
Fax: (575) 625-0131

The NPI 1184709339 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Diagnostic imaging of retina (HCPCS:92134)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 10/26/2006 and was last updated on 4/10/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMD2015-0927NEW MEXICOYes
2207W00000XOphthalmologyG53485CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ07175ZOTHERCALIFORNIABLUE SHIELD OF CA
200G53480MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.