Melanie Diane Mester, M.D.
Individual provider Active NPI Pediatrics Physician · Pawnee, OK
NPI 1174986582 · NPPES record last updated Jul 10, 2019
Key facts
- NPI
- 1174986582
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 32234 (OK)
- Practice address
- 1201 Heritage Cir
Pawnee, OK 74058-3744 - Phone
- (918) 762-2517
- Fax
- (918) 762-2729
- NPI assigned
- Apr 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191230000839 | TX | Practitioner - Pediatric Medicine | 6406280429 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32234 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pawnee Indian Health Center | Current |
Accepting new patients | |
| Northeastern Tribal Health System | Current |
Accepting new patients | |
| Pawnee IHS Pharmacy | Past |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
7600 S Highway 69A
Miami, OK 74354
Phone (918) 542-1655
1201 Heritage Cir
Pawnee, OK 74058
Phone (918) 762-2517
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 32234 | OK | Yes |
Addresses
Primary practice location
1201 Heritage Cir
Pawnee, OK 74058-3744
Mailing address
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone (918) 762-2517
Other names
- Melanie Diane Prevett
Other providers in Pawnee, OK
- Jeanette Littlesun
- Jasha Lyons Echo-Hawk
- Lisa Mays
- Crystal Dawn McCarty
- Aaron R. Means Sr.
- Robert Lee Morgan
- Northern Oklahoma Addiction Clinic
- Kaylea Novotny
- Mika Osako
- Pain Relief Center of Oklahoma
All providers in Pawnee, OK · Pediatrics Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.