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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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LEADER, MERVIN NIGEL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 844 CR 2150 E
FAIRFIELD IL 62837

Address last updated on 3/25/2024
Phone #: (479) 259-8855
Fax #:
County: NOT OKLAHOMA
License: 33206
Dated: 9/21/2017
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Psychiatry
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KY Coll Of Med, Lexington Ky 40536
Graduated: 5 / 1986
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Psychiatry specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
CCN Managed Care
CIGNA HMO
CIGNA PPO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare HMO
Hospital Privileges: Hospital Not Listed
,
Locations: Hours: Languages:
844 CR 2150 E
FAIRFIELD IL 62837

Phone #: (479) 259-8855
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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