Carlos Melendez, PA – Family Physician | New York, NY

Carlos Melendez, PA is a Family Physician practicing at Oak Street Health Washington Heights in New York, NY. He is dedicated to providing high-quality, comprehensive, patient-centered family medical care. He is registered with The New York State Board for Medicine (NYSBOM) and practices under the New York Education Law, Article 131 (Medicine).

Please note: Dr. Carlos PA is not currently accepting new patients. You may wish to check back periodically for updates or contact (845) 720-3996 to inquire about potential future openings or waitlists.

Dr. Carlos PA focuses on providing continuous and comprehensive primary medical care for individuals and families across all ages and life stages. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages and is a Family Medicine Specialist at Oak Street Health specializing in care for adults on Medicare. Dr. Carlos PA is committed to evidence-based medicine, patient education, and fostering collaborative physician-patient relationships. Dr. Carlos PA offers consultations in Spanish. Dr. Carlos PA is dedicated to improving the health and well-being of his patients and the community he serves.

Dr. Carlos PA addresses a wide range of common health concerns, including:

• Subacute Active Lichen Planus: This skin condition causes an itchy rash.
• Lichen Planus: This is a chronic skin condition that causes itchy, flat-topped bumps or lesions.
• Basal Cell Carcinoma: This is a slow-growing cancer that rarely spreads, but still requires treatment.
• Ingrown Nail: This is a painful, infected area around a nail that has grown into the skin.
• Spider Veins: These are small blood vessels that are usually harmless, but may be a cosmetic concern.
• Tinea Nigra: This is a superficial fungal infection causing dark discoloration of the skin.
• Lichen Planopilaris: This condition affects the hair follicles, leading to scarring and hair loss, often beginning with itchy patches.

Please note: This list highlights some common health concerns that Dr. Carlos PA addresses and is for informational purposes only; it does not constitute medical advice. The range of conditions a Family Physician manages is broad, and this list is not exhaustive. For a comprehensive understanding of how he can assist with your specific health needs or to discuss any particular symptoms you are experiencing, it's always best to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Dr. Carlos PA offers a range of services to meet his patients' healthcare needs, such as:

• 3D Digital Mammography: This advanced breast screening technology provides a more detailed view of the breasts than a standard mammogram.
• Sinus X-Ray: X-rays of the nasal passages and sinuses help evaluate pain or congestion.
• Anti-Angiogenesis Medication Therapy: Medications are used to prevent the formation of new blood vessels, aiding in disease control.
• Environmental Allergy Testing: This test identifies environmental allergens, such as pollen or pet dander.
• Intravenous Pyelogram (IVP): An IVP uses a dye to improve X-ray images of the kidneys and urinary system for diagnosis.
• Transrectal Ultrasound-Guided Prostate Biopsy (TRUS): A prostate biopsy guided by ultrasound using a rectal probe for cancer detection.
• Manometry: This test assesses muscle function in the digestive tract to identify swallowing or food movement problems.

Please note: This list highlights some of the key services that may be offered by Dr. Carlos PA. Service availability can change and not all services listed may be appropriate or offered to every patient. The scope of services can vary. For a comprehensive understanding of all available services or to discuss your specific healthcare needs, it's always best to schedule a consultation. Some specialized procedures or advanced diagnostic tests may require referral to a specialist.

All medical services are provided in accordance with the standard scope of practice for Family Physicians in New York and adhere to the ethical and professional guidelines set forth by The New York State Board for Medicine (NYSBOM).

Dr. Carlos PA is dedicated to partnering with patients to achieve their unique health objectives. Whether it's managing common concerns or pursuing preventative wellness, he helps patients set and reach meaningful goals. The following examples illustrate how this collaborative approach with Dr. Carlos PA can make a difference in patients' lives:

• With effective treatment, patients experience a significant reduction in their skin rash and inflammation, allowing them to comfortably participate in social activities and enjoy life without the discomfort of their condition. Many find their confidence restored as their skin clears.
• With consistent treatment, many patients experience significant reduction in itching and inflammation associated with lichen planopilaris, leading to improved scalp health and renewed confidence in their appearance. This often allows them to comfortably participate in social activities and enjoy a fuller life without the constant worry of hair loss.
• Patients experiencing the pain and inflammation of an ingrown toenail find relief through proper treatment, allowing them to comfortably resume activities they enjoy, such as walking, running, or even simply wearing their favorite shoes without discomfort.

These scenarios are illustrative examples of how patients, with the support of Dr. Carlos PA, can achieve positive health outcomes and resume meaningful activities. Individual results may vary and depend on many factors specific to each patient. He will work with you to define and achieve your personal health goals.

The practice is located in a family medicine practice in the New York, New York area, conveniently situated near key city attractions and public services. It is generally accessible via local transportation options serving New York. The clinic is designed to be accessible to all patients, with features to accommodate various mobility needs. Convenient patient parking is typically available nearby or on-site.

Understanding your insurance coverage is an important step in planning your healthcare with Dr. Carlos PA. The clinic may accept a variety of insurance plans. Below is a list of some insurance networks that Dr. Carlos PA or the clinic may be affiliated with. However, this list is subject to change and may not be exhaustive.

• Aetna
• Empire Blue Cross Blue Shield
• Humana
• UnitedHealthCare
  • Plan: United Healthcare
• WellCare

Important Note on Insurance Verification:

Insurance networks and accepted plans can change frequently and without prior notice. The list above, if provided, is for general guidance only and may not be completely up-to-date or cover all specific plans within a network. It is imperative that patients personally verify that Dr. Carlos PA is currently an in-network provider for their specific insurance plan, and fully understand all coverage details (including co-pays, deductibles, co-insurance requirements, and any need for referrals or pre-authorizations for services with Dr. Carlos PA) by contacting their insurance provider directly BEFORE scheduling an appointment. You should also confirm acceptance of your specific plan with our office at (845) 720-3996 when you call to schedule. While our staff can assist with general insurance questions, your insurance company is the definitive source for your coverage information. Understanding your benefits ahead of time helps prevent unexpected out-of-pocket expenses.

Please be aware that some services, such as certain preventative screenings not covered under your specific plan, administrative forms, or non-medically necessary procedures, may not be covered by insurance and could be your financial responsibility.

Information on hospital affiliations can be obtained by contacting the clinic.

Dr. Carlos PA has completed all necessary medical education and holds current licensure. Specifics can be discussed or verified with The New York State Board for Medicine (NYSBOM).

Are services from Dr. Carlos PA typically covered by health insurance in New York?

Dr. Carlos PA, as a Family Physician in New York, likely accepts a variety of health insurance plans, including major private insurers, Medicare, and potentially state Medicaid programs. However, you must always verify with your specific insurance provider AND with Oak Street Health Washington Heights's office prior to an appointment to confirm that Dr. Carlos PA is 'in-network' for your plan and to understand your specific coverage details, co-pays, deductibles, co-insurance, and any referral requirements for specialist visits if applicable. Some services (e.g., most cosmetic procedures, some administrative forms, non-medically necessary visits) may not be covered by insurance and could result in out-of-pocket expenses. Please ask the clinic about policies for uninsured or self-pay patients if applicable.

Do I typically need a referral to see Dr. Carlos PA as my Family Physician, or to see a specialist?

Generally, you do not need a referral from another doctor to see Dr. Carlos PA to establish care as your Family Physician/Primary Care Physician (PCP), provided he is accepting new patients. However, to see most medical specialists (e.g., cardiologist, dermatologist), Dr. Carlos PA will typically provide a referral after an assessment. Many insurance plans, particularly HMOs, do require a referral from your designated PCP (Dr. Carlos PA, if so chosen) for specialist visits to be covered. PPO plans may offer more flexibility for self-referral to specialists, but this might result in higher out-of-pocket costs if the specialist is out-of-network or if a referral would have secured better coverage. Always check the referral requirements of your specific insurance plan.

How can I find a Family Physician (Family Physician) in New York who is accepting new patients and takes my insurance?

First, check your health insurance plan's 'Find a Doctor' or 'Provider Directory' tool (often online or via their member services phone number) to find in-network PCPs. Also use the 'Physician Finder' tool on the American Academy of Family Physicians (AAFP) website (familydoctor.org). The New York Medical Board (or New York State Board for Medicine (NYSBOM) if available) website may have search tools for licensed physicians. Ask friends, family, or colleagues for recommendations. Contact local hospital systems or larger medical groups, as they often have affiliated family physicians. Verifying insurance acceptance directly with the clinic before scheduling is crucial.

Can you explain common health insurance terms like co-pays, deductibles, and co-insurance?

Certainly! A co-pay (or copayment) is a fixed amount (e.g., $25 or $50) you pay for a covered healthcare service at the time of service. Your insurance plan pays the rest. A deductible is the amount you must pay out-of-pocket for covered healthcare services *before* your insurance plan starts to pay its share (e.g., you might have a $1,000 annual deductible). Preventive services are often covered before meeting the deductible. Co-insurance is your share of the costs of a covered healthcare service, calculated as a percentage (e.g., 20%) of the allowed amount for the service, which you pay *after* you've met your deductible. These amounts and how they apply vary greatly by insurance plan. Dr. Carlos PA recommends you consult your insurance plan documents or contact your insurer's member services for details specific to your policy.

How often should I see Dr. Carlos PA for a check-up or physical exam?

The recommended frequency for check-ups varies based on your age, overall health, existing medical conditions, and specific risk factors. Many insurance plans cover one annual preventive visit for adults with no co-pay. Healthy younger adults may benefit from regular check-ins (e.g., every 1-3 years if no major concerns, but an annual visit is often encouraged if covered by insurance), while older adults (e.g., annually, especially for Medicare Annual Wellness Visits), or individuals with chronic conditions typically require more frequent visits (e.g., every 3-6 months or annually, as determined by Dr. Carlos PA). For specific screening tests, there are established national guidelines which Dr. Carlos PA follows. Discuss your individual needs with Dr. Carlos PA to determine an appropriate schedule for your preventative care.

What if Dr. Carlos PA works in a group practice or medical group? Will I always see Dr. Carlos PA?

Dr. Carlos PA practices as part of Oak Street Health Washington Heights, which means you have access to a team of healthcare professionals. While the goal is always to promote continuity with your primary Family Physician, Dr. Carlos PA, for some urgent same-day issues, routine follow-ups for stable conditions, or if Dr. Carlos PA is unavailable, you might be offered an appointment with another trusted member of the care team. This collaborative, team-based approach can enhance access to care, provide comprehensive support, and ensure your needs are met promptly. Oak Street Health Washington Heights will always strive to have you see Dr. Carlos PA for complex or ongoing issues where that established physician-patient relationship is most crucial.

What does PCP mean and is Dr. Carlos PA one?

PCP stands for Primary Care Physician. Yes, Dr. Carlos PA, as a Family Physician, serves as a PCP for his patients. Your PCP is your main doctor for general health needs, preventative care, and is usually the first point of contact for most medical issues. He manages a wide range of health concerns and coordinates your overall care, including providing referrals to specialists if needed. Many health insurance plans in the US, especially HMOs, require you to select or be assigned a designated PCP to oversee your care and authorize specialist visits.

What happens if Dr. Carlos PA determines I need to see a medical specialist?

Seeing a medical specialist often requires a referral from your Family Physician/PCP like Dr. Carlos PA, particularly if mandated by your health insurance plan to ensure coverage at the highest benefit level. After assessing your condition, if Dr. Carlos PA believes specialist care is necessary, he will discuss this with you and make the appropriate referral, often suggesting specialists who are known to be in-network with common insurance plans. Our office may assist with the insurance pre-authorization process if required. You will then typically be contacted by the specialist's office to arrange your appointment. Remember that specialist wait times can vary, so Dr. Carlos PA will continue to manage your care and provide support in the interim.

Oak Street Health Washington Heights
4405 Broadway
New York NY 10040
Phone: (845) 720-3996

Carlos Melendez, PA is regulated by the New York Education Law, Article 131 (Medicine) in New York and is licensed by The New York State Board for Medicine (NYSBOM).

National Provider Identifier (NPI): 1851404925

Registration can typically be verified through The New York State Board for Medicine (NYSBOM) website or by direct inquiry.

The information on this profile is for general informational purposes only and does not constitute direct medical advice from the physician named. Family Physicians like Dr. Carlos PA are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your Family Physician about all aspects of your health, including any treatments received from other practitioners or specialists.