Melisha Faye Byles

Individual provider Active NPI Case Management Agency · Newcastle, OK

NPI 1891120077 · NPPES record last updated Sep 6, 2013

Key facts

NPI
1891120077
Entity type
Individual (NPI type 1)
Primary specialty
Case Management Agency 251B00000X
License
00000000000000000000 (OK)
Practice address
1118 Linda LN
Newcastle, OK 73065-4161
Phone
(405) 343-4619
NPI assigned
Sep 6, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00000000000000000000OKMDCase Management Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 00000000000000000000 OK Yes

Addresses

Primary practice location

1118 Linda LN
Newcastle, OK 73065-4161

Mailing address

1118 Linda LN
Newcastle, OK 73065-4161
Phone (405) 343-4619

Other identifiers

IdentifierTypeStateIssuer
000000000000000000MedicaidOK

Other providers in Newcastle, OK

All providers in Newcastle, OK · Case Management Agency in Oklahoma

Sources for this page

Verify at the official NPI Registry.