Provider Demographics
NPI:1225217656
Name:ACCARDI, MELINDA N (PA-C)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:N
Last Name:ACCARDI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:N
Other - Last Name:DICKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-217-4217
Practice Address - Street 1:12 ST. PAUL DRIVE
Practice Address - Street 2:SUITE 207
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-217-6882
Practice Address - Fax:717-217-6883
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054392363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1716306OtherDEVON HEALTHCARE
PA50095025OtherCAPITAL BLUE CROSS
PA25-1716306OtherPHCS/MULTIPLAN
PA103148650Medicaid
PA25-1716306OtherINTERGROUP
PA25-1716306OtherGREATWEST
PAP00841809OtherRAILROAD MEDICARE
PA50095023OtherCAPITAL BLUE CROSS (POTOMAC OB/GYN)
PA867633OtherMEDICARE GROUP #
PA25-1716306OtherHEALTH AMERICA/COVENTRY
PA9882549OtherAETNA NON-HMO
CA19389OtherPHYSICIAN ASSISTANT COM.
PA1382847OtherAETNA HMO
PA25-1716306OtherGATEWAY HEALTH PLAN
PA25-1716306OtherHEALTH NET/TRICARE
PA25-1716306OtherINFORMED
PA25-1716306OtherINFORMED
PA103148650Medicaid