Suzanne Melugin, MBS | |
134 N 12th Ave, Durant, OK 74701-4718 | |
(580) 924-6363 | |
(580) 924-0379 |
Full Name | Suzanne Melugin |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 134 N 12th Ave, Durant, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033241146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 4157 (Oklahoma) | Secondary |
101YP2500X | Counselor - Professional | 85739 (Texas) | Primary |
Entity Name | Deer Oaks Mental Health Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134175763 PECOS PAC ID: 2264337013 Enrollment ID: O20130413000082 |
Mailing Address | Practice Location Address |
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Suzanne Melugin, MBS 1801 W Main St, Durant, OK 74701-4913 Ph: (903) 267-3526 | Suzanne Melugin, MBS 134 N 12th Ave, Durant, OK 74701-4718 Ph: (580) 924-6363 |
Melissa Holaday, LBP Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 N 1st Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
Mr. Preston John Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Natasha Tom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 N 3rd Ave, Durant, OK 74701 Phone: 580-931-3008 Fax: 580-931-8022 | |
David Wells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 West Main St, Durant, OK 74701 Phone: 580-924-7330 | |
Daniel Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 N 12th Ave, Durant, OK 74701 Phone: 580-924-6363 | |
Mrs. Christine Lynn Cragar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 | |
Kristi Lynn Burkhalter, Counselor Medicare: Medicare Enrolled Practice Location: 1604 N Washington Ave, Durant, OK 74701 Phone: 580-920-0909 |