| Mrs Monique Tisha Modest-mckoy, MD | |
|
3400 E Frank Phillips Blvd Ste 400, Bartlesville, OK 74006-2440 | |
| (183) 312-5339 | |
| Not Available |
| Full Name | Mrs Monique Tisha Modest-mckoy |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 17 Years |
| Location | 3400 E Frank Phillips Blvd Ste 400, Bartlesville, 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 |
|---|---|---|---|
| 1174767255 | NPI | - | NPPES |
| 200489990A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 29720 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St John Physicians Inc | 2567366495 | 216 |
| Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Monique Tisha Modest-mckoy, MD 1923 S Utica Ave, Tulsa, OK 74104-6520 Ph: (918) 403-7066 | Mrs Monique Tisha Modest-mckoy, MD 3400 E Frank Phillips Blvd Ste 400, Bartlesville, OK 74006-2440 Ph: (183) 312-5339 |
Dr. Aldon Elisworth Corle Jr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 E Frank Phillips Blvd, Bartlesville, OK 74006 Phone: 918-331-2533 Fax: 918-331-2539 | |
Mr. Robert D Oliver, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 226 Se Debell Ave, Bartlesville, OK 74006 Phone: 918-333-4020 Fax: 918-331-0213 | |
Dr. Tarynn Freeman, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 E Frank Phillips Blvd Ste 400, Bartlesville, OK 74006 Phone: 918-331-2533 |