Mary Melinda Dennis, APRN-CNP | |
105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 | |
(405) 207-9800 | |
(405) 207-9898 |
Full Name | Mary Melinda Dennis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 105 N Indian Meridian Rd, Pauls Valley, 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 |
---|---|---|---|
1164831574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 89347 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saints Medical Group, Llc | 7012914898 | 358 |
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 |
Entity Name | The Eden Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437660446 PECOS PAC ID: 1052649027 Enrollment ID: O20190829000615 |
Mailing Address | Practice Location Address |
---|---|
Mary Melinda Dennis, APRN-CNP 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 Ph: (405) 207-9800 | Mary Melinda Dennis, APRN-CNP 105 N Indian Meridian Rd, Pauls Valley, OK 73075-9236 Ph: (405) 207-9800 |
Ms. Shelly Rae Russeff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075 Phone: 405-207-9800 Fax: 405-207-9898 | |
Letitia Lynn Jackson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 W Grant Ave Ste 2, Pauls Valley, OK 73075 Phone: 405-238-3900 Fax: 405-238-3903 | |
Micki Richardson, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 N Indian Meridian Rd, Pauls Valley, OK 73075 Phone: 405-207-9800 | |
Michelle Martin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Burr Ave, Pauls Valley, OK 73075 Phone: 405-238-4633 | |
Brett Avery Baldwin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 415 W Guy Ave, Pauls Valley, OK 73075 Phone: 405-397-0035 Fax: 405-238-9342 | |
Marcus Shane Wahl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Melville Dr, Pauls Valley, OK 73075 Phone: 405-224-8111 Fax: 405-825-4530 |