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 | 17 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 | 712 |
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 |