| Melissa J Mcintosh, MD | |
|
510 Peter Pan Rd, Independence, KS 67301-7300 | |
| (620) 577-4310 | |
| (620) 577-4312 |
| Full Name | Melissa J Mcintosh |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 510 Peter Pan Rd, Independence, Kansas |
| 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 |
|---|---|---|---|
| 1366465817 | NPI | - | NPPES |
| 100412310A | Medicaid | KS | |
| 100229360A | Other | OK | OKLAHOMA MEDICAID |
| 101724 | Other | KS | BLUE CROSS BLUE SHIELD |
| 110236310 | Other | KS | TRAVELERS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 04-29443 (Kansas) | Secondary |
| 207R00000X | Internal Medicine | 04-29443 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of East Oklahoma | Broken arrow, OK | Home health agency |
| Jane Phillips Memorial Medical Center, Inc | Bartlesville, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Labette County Medical Center | 5496664369 | 59 |
| Osage Nation Si-si A-pe-txa | 2769847912 | 15 |
| Osage Nation | 8426030990 | 15 |
| Entity Name | Labette County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336133362 PECOS PAC ID: 5496664369 Enrollment ID: O20031112000344 |
| Entity Name | Green Country Emergency Physicians Group Of Tulsa, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972698553 PECOS PAC ID: 0345247052 Enrollment ID: O20150210000766 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa J Mcintosh, MD Po Box 736, Parsons, KS 67357-0736 Ph: (620) 820-5428 | Melissa J Mcintosh, MD 510 Peter Pan Rd, Independence, KS 67301-7300 Ph: (620) 577-4310 |
Ajit Lale, Internal Medicine Medicare: Medicare Enrolled Practice Location: 800 W Myrtle St, Independence, KS 67301 Phone: 620-331-2200 Fax: 620-332-3281 | |
James E Hignight, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W Laurel St, Independence, KS 67301 Phone: 620-332-3280 Fax: 620-332-3281 |