Dr Mary Melissa Morgan, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Broken Arrow, Oklahoma. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 1990 and has 35 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Southside Dermatology Pllc and her current practice location is
3300 S Aspen Ave Ste A, Broken Arrow, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 770-4599.
Dr Mary Melissa Morgan is licensed to practice in Oklahoma (license number 20128) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487621413.
Physician's Profile
| Full Name | Dr Mary Melissa Morgan |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 35 Years |
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| Location | 3300 S Aspen Ave Ste A, Broken Arrow, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary Melissa Morgan attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1990
NPI Data:
- NPI Number: 1487621413
- Provider Enumeration Date: 03/08/2006
- Last Update Date: 08/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517129596
- Enrollment ID: I20120509000304
Medical Identifiers
Medical identifiers for Dr Mary Melissa Morgan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487621413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NS0135X | Dermatology - Procedural Dermatology | 20128 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southside Dermatology Pllc | 9234487554 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mary Melissa Morgan allows following entities to bill medicare on her behalf.
| Entity Name | Melissa Morgan Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518232230
PECOS PAC ID: 8729240700
Enrollment ID: O20120509000261 |
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| Entity Name | Southside Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750877072
PECOS PAC ID: 9234487554
Enrollment ID: O20180802002933 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Melissa Morgan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Mary Melissa Morgan, MD
6200 W Utica St,
Broken Arrow, OK 74011-1115
Ph: (918) 629-9889 | Dr Mary Melissa Morgan, MD
3300 S Aspen Ave Ste A,
Broken Arrow, OK 74012-7501
Ph: (918) 770-4599 |
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