| Melonie C Proctor, DO | |
|
1808 Bristow Drive, Union, KY 41091-3513 | |
| (859) 301-7210 | |
| (859) 301-7216 |
| Full Name | Melonie C Proctor |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1808 Bristow Drive, Union, Kentucky |
| 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 |
|---|---|---|---|
| 1205075116 | NPI | - | NPPES |
| 3110270 | Medicaid | OH | |
| P00856623 | Other | KY | RAILROAD MEDICARE |
| 7100135290 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R1572 (Kentucky) | Secondary |
| 207Q00000X | Family Medicine | 03181 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Home Care | Florence, KY | Home health agency |
| St Elizabeth Edgewood | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| St Elizabeth Grant | Williamstown, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 756 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Melonie C Proctor, DO Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 301-7210 | Melonie C Proctor, DO 1808 Bristow Drive, Union, KY 41091-3513 Ph: (859) 301-7210 |
Dr. Corey Gallus, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 | |
Dr. Brian J Walters, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 Bristow Drive, Primary Care-union Bristow Drive, Union, KY 41091 Phone: 859-301-7210 Fax: 859-301-7216 | |
Dr. Craig David Sanders, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 605 Man O War Boulevard, Union, KY 41091 Phone: 859-578-5333 Fax: 859-384-0216 |