| Melissa Ann Gastorf, DO, | |
|
1004 N 19th Ave, Building 2, Durant, OK 74701-3016 | |
| (580) 931-9135 | |
| (580) 931-9161 |
| Full Name | Melissa Ann Gastorf |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 1004 N 19th Ave, Durant, 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 |
|---|---|---|---|
| 1164426847 | NPI | - | NPPES |
| 200069300A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4074 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Saint Francis Hospital Vinita, Inc | Vinita, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cherokee Nation | 5799698742 | 369 |
| Entity Name | Cherokee Nation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ann Gastorf, DO, 239 Eaglelake Dr, Durant, OK 74701-7421 Ph: (580) 931-9135 | Melissa Ann Gastorf, DO, 1004 N 19th Ave, Building 2, Durant, OK 74701-3016 Ph: (580) 931-9135 |
Dr. Brendan Dye, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 | |
Dr. Michael A Lee, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1708 Delivery Lane, Durant, OK 74701 Phone: 580-924-5622 Fax: 580-745-5060 | |
Reika Elizabeth Takita, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Bryan Dr Ste 201, Durant, OK 74701 Phone: 580-924-5500 | |
Kalli Reimer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W University Blvd, Durant, OK 74701 Phone: 580-924-5500 | |
Dr. Quinton Tieu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Chukka Hina, Durant, OK 74701 Phone: 580-920-2100 | |
Caitlin A Spinney, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 Bryan Dr Ste 201, Durant, OK 74701 Phone: 817-247-7556 |