| Dr Merle Leslie Davis, MD | |
|
3315 Kethley Rd, Shawnee, OK 74804-9638 | |
| (405) 273-5801 | |
| (405) 878-3814 |
| Full Name | Dr Merle Leslie Davis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 3315 Kethley Rd, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669411146 | NPI | - | NPPES |
| 100110190A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10230 (Oklahoma) | Primary |
| Entity Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Merle Leslie Davis, MD Po Box 849, Shawnee, OK 74802-0849 Ph: (405) 273-5801 | Dr Merle Leslie Davis, MD 3315 Kethley Rd, Shawnee, OK 74804-9638 Ph: (405) 273-5801 |
Dr. Jeremy Patrick Holter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Raphael C Francisco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Dr. Michael W. Butcher, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Kelli Denise Koons, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Isma Nusrat Javed, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804 Phone: 404-273-5801 | |
Dr. Phillip A. Haddad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Harold Stanley Wood, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |