| Dr Melonie Dawn King, DO | |
|
1800 E Coplin St, Okemah, OK 74859-4642 | |
| (918) 623-1424 | |
| Not Available |
| Full Name | Dr Melonie Dawn King |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 1800 E Coplin St, Okemah, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811216567 | NPI | - | NPPES |
| 5074 | Other | OK | OK STATE LICENSE NUMBER |
| 42551 | Other | OK | OBNDD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5074 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mays Home Health Of Tulsa | Okmulgee, OK | Home health agency |
| Traditions Home Care, Inc | Mcalester, OK | Home health agency |
| Creek Nation Community Hospital | Okemah, OK | Hospital |
| Muscogee (creek) Nation Medical Center | Okmulgee, OK | Hospital |
| Hillcrest Hospital Henryetta | Henryetta, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Entity Name | Ahs Oklahoma Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melonie Dawn King, DO 379126 E 1140 Rd, Okemah, OK 74859-1633 Ph: (918) 851-6997 | Dr Melonie Dawn King, DO 1800 E Coplin St, Okemah, OK 74859-4642 Ph: (918) 623-1424 |
Roselynn R Dean, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 519 S Woody Guthrie St, Okemah, OK 74859 Phone: 918-623-9309 Fax: 918-623-9318 | |
Dr. Leslie L Lisdell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 North 3rd Street, Okemah, OK 74859 Phone: 405-382-4939 Fax: 405-382-4947 |