Individual ProviderKevin MelchertSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327(563) 588-7408(563) 599-7910PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Melchert does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1215945613Provider TypeIndividualFull NameMelchert, KevinTitleMr.CredentialATCGenderMaleSole ProprietorYesEnumeration Date8/3/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327Phone(563) 588-7408Fax(563) 557-4087Mailing LocationMailing Address2940 Burlington St, Dubuque, IA 52001-0914Phone(563) 599-7910FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense00255Iowa