Cheryl Premila Speake, DO in Fort Smith, AR

Cheryl Premila Speake, DO is a medicare enrolled "Pediatrics" physician in Fort Smith, Arkansas. Her current practice location is 3224 S 70th St, Fort Smith, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 314-4810.

Cheryl Premila Speake is licensed to practice in Arkansas (license number E-9186) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295051167.

Contact Information

	Cheryl Premila Speake, DO
	3224 S 70th St, Fort Smith, AR 72903-5050
	(479) 314-4810
	(479) 314-4829

Map and Direction

Physician's Profile

Full Name	Cheryl Premila Speake
Gender	Female
Speciality	Pediatrics
Location	3224 S 70th St, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295051167
Provider Enumeration Date: 04/15/2010
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5597071506
Enrollment ID: I20150904000628

Medical Identifiers

Medical identifiers for Cheryl Premila Speake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295051167	NPI	-	NPPES
2487	Other	TN	TN MEDICAL LIC
Q001054	Medicaid	TN
200601840A	Other		MEDICAID SOONERCARE
200601840A	Medicaid	OK
209981003	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	BP10037147 (Texas)	Secondary
208000000X	Pediatrics	E-9186 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Cheryl Premila Speake allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic Fort Smith Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheryl Premila Speake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cheryl Premila Speake, DO 2901 S 74th St, Fort Smith, AR 72903-5156 Ph: (479) 314-1101	Cheryl Premila Speake, DO 3224 S 70th St, Fort Smith, AR 72903-5050 Ph: (479) 314-4810

Reviews and Comments

Pediatrics Doctors in Fort Smith, AR

Dr. Kevin Allen Davis, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 501-593-3845
Casey D Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Dr. Merle E Mcclain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7001 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077
Kathryn Denise Hendrickson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7303 Rogers Ave, Fort Smith, AR 72903 Phone: 479-478-7200 Fax: 478-478-7225
Dr. Charles Henry Floyd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3304 Newport Pl, Fort Smith, AR 72903 Phone: 479-651-4543
Manar S Ibrahim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 S Waldron Rd, Ste 100, Fort Smith, AR 72903 Phone: 479-709-7337 Fax: 479-709-7461
Joshua R Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 Phone: 479-763-3050 Fax: 479-763-3281

Cheryl Premila Speake, DO - Medicare Pediatrics in Fort Smith, AR