Cyril E Severns, MD | |
7900 Dallas St, Fort Smith, AR 72903-5690 | |
(479) 242-6647 | |
(479) 250-0505 |
Full Name | Cyril E Severns |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 7900 Dallas St, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013904176 | NPI | - | NPPES |
139030001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | E2217 (Arkansas) | Primary |
Entity Name | Advanced Dermatology & Skin Cancer Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245426162 PECOS PAC ID: 2961588900 Enrollment ID: O20080401000019 |
Entity Name | The Dermatology Center Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376780098 PECOS PAC ID: 5799842845 Enrollment ID: O20090318000017 |
Mailing Address | Practice Location Address |
---|---|
Cyril E Severns, MD 7900 Dallas St, Fort Smith, AR 72903-5690 Ph: (479) 242-6647 | Cyril E Severns, MD 7900 Dallas St, Fort Smith, AR 72903-5690 Ph: (479) 242-6647 |
Chelsea Jones Meltzer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Sara Kurian Lamb, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Katie Clark Wadlington, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Dr. George Luke Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7900 Dallas Street, Fort Smith, AR 72903 Phone: 479-242-6647 Fax: 479-250-0505 | |
Dr. Sandra Marchese Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-420-1221 Fax: 479-646-0133 | |
Dr. Brad Russell Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916 Phone: 479-649-3376 Fax: 479-646-0133 |