Suzanne T Mallatt, NP | |
7600 S Highway 69a, Miami, OK 74354-1016 | |
(918) 542-1655 | |
(918) 540-1685 |
Full Name | Suzanne T Mallatt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 7600 S Highway 69a, Miami, 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 |
---|---|---|---|
1417984352 | NPI | - | NPPES |
425773108 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 147011 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Claremore Indian Hospital | Claremore, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Tribal Health System | 7911893854 | 18 |
Entity Name | Northeastern Tribal Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871522532 PECOS PAC ID: 7911893854 Enrollment ID: O20040226000389 |
Mailing Address | Practice Location Address |
---|---|
Suzanne T Mallatt, NP 9473 Se 80th Ter, Baxter Springs, KS 66713-3278 Ph: (620) 848-9826 | Suzanne T Mallatt, NP 7600 S Highway 69a, Miami, OK 74354-1016 Ph: (918) 542-1655 |
Derekka Alyse Ybarra, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 B St Sw, Miami, OK 74354 Phone: 918-542-2273 | |
Crystal Merriman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Nw Veterans Blvd, Miami, OK 74354 Phone: 888-777-9170 | |
Holly Rochelle Richardson, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 S Treaty Rd, Miami, OK 74354 Phone: 918-238-3074 Fax: 918-238-3076 | |
Michelle Lynn Graham, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw, 106-b, Miami, OK 74354 Phone: 918-540-7634 Fax: 918-540-7641 | |
Mary Kathryn Sigler, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7475 Fax: 918-540-7473 | |
Jessica Dawn Williams, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 A St Sw, Miami, OK 74354 Phone: 918-533-1836 | |
Carol Ann Demond, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 S Highway 69a, Miami, OK 74354 Phone: 918-542-1655 Fax: 918-332-4395 |