| Kelly Lynn Chesser, APRN | |
|
704 S 8th St, Mcloud, OK 74851-8633 | |
| (405) 964-6463 | |
| (405) 964-2412 |
| Full Name | Kelly Lynn Chesser |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 704 S 8th St, Mcloud, 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 |
|---|---|---|---|
| 1003346123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 75184 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saints Medical Group, Llc | 7012914898 | 432 |
| 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 |
| Entity Name | Ssm Health Care Of Oklahoma, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lynn Chesser, APRN Po Box 258884, Oklahoma City, OK 73125-8884 Ph: (405) 231-3857 | Kelly Lynn Chesser, APRN 704 S 8th St, Mcloud, OK 74851-8633 Ph: (405) 964-6463 |
Amanda Quary, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105365 S Highway 102, Mcloud, OK 74851 Phone: 405-964-2081 | |
Ms. Melissa Dawn Barnes, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 704 S 8th St, Mcloud, OK 74851 Phone: 405-964-6463 |