| Dr Melvin D Merritt, MD | |
|
2166 Madison Ave, Granite City, IL 62040-4700 | |
| (618) 451-4872 | |
| (618) 451-6203 |
| Full Name | Dr Melvin D Merritt |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2166 Madison Ave, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386727584 | NPI | - | NPPES |
| 036120076 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 17048 (Mississippi) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 036120076 (Illinois) | Primary |
| Entity Name | Center For Family Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780784439 PECOS PAC ID: 4587574421 Enrollment ID: O20040219000916 |
| Entity Name | Obhg Michigan, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790120863 PECOS PAC ID: 3971739244 Enrollment ID: O20131114000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melvin D Merritt, MD 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 451-4872 | Dr Melvin D Merritt, MD 2166 Madison Ave, Granite City, IL 62040-4700 Ph: (618) 451-4872 |
Dr. Emily Sara Barker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1602 21st St, Granite City, IL 62040 Phone: 618-451-5722 | |
Erin Lee King, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1602 21st St, Granite City, IL 62040 Phone: 618-451-5722 Fax: 618-451-9092 |