MELISSA MOUTRAY, MD DDS

Oral & Maxillofacial Surgery (D.M.D.) · GARDEN CITY, KS

Individual Active Opted out of Medicare NPI 1386963718

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral & Maxillofacial Surgery (D.M.D.)204E00000X04-41292KS
Oral & Maxillofacial Surgery (D.M.D.)204E00000XD1107SD

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2016-06-17 through 2028-06-17.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.