Crystal L Deweese, MD | |
515 Enterprise Dr, Lowell, AR 72745-8975 | |
(479) 717-7626 | |
(471) 717-7327 |
Full Name | Crystal L Deweese |
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Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 515 Enterprise Dr, Lowell, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275709545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | E-7395 (Arkansas) | Primary |
Entity Name | Mercy Health Northwest Arkansas Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
Mailing Address | Practice Location Address |
---|---|
Crystal L Deweese, MD 515 Enterprise Dr, Lowell, AR 72745-8975 Ph: (479) 717-7626 | Crystal L Deweese, MD 515 Enterprise Dr, Lowell, AR 72745-8975 Ph: (479) 717-7626 |
Priyanka Baweja, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr Ste 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 | |
Tonya M Balmakund, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-756-4154 | |
Robin Lianne Forward-wise, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 | |
Dr. Bradley G Goodson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-750-0323 | |
Dr. Randal Scott Scholma, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7327 | |
Kyle E. Johnson, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7327 |