Individual ProviderMelanie TamPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3020 Childrens Way # 5018, San Diego, CA 92123-4223(858) 966-7759PECOS EnrollmentBased on the most recent information from CMS, provider Melanie Tam is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1649899816Provider TypeIndividualFull NameTam, MelanieCredentialMD, MSGenderFemaleSole ProprietorYesEnumeration Date4/8/2020Last Updated1/3/2024Contact InformationPractice LocationPractice Address3020 Childrens Way # 5018, San Diego, CA 92123-4223Phone(858) 966-7759FaxUnlisted FaxMailing LocationMailing Address3020 Childrens Way # 5018, San Diego, CA 92123-4223Phone(858) 966-7759FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0804XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA187719CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer