Dana P Rabideau, MD | |
1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 | |
(479) 709-7480 | |
(479) 709-7479 |
Full Name | Dana P Rabideau |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 1500 Dodson Ave, 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 |
---|---|---|---|
1710974548 | NPI | - | NPPES |
105851001 | Medicaid | AR | |
100221460A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | N6097 (Arkansas) | Primary |
207RN0300X | Internal Medicine - Nephrology | 15018 (Oklahoma) | Secondary |
Entity Name | Fort Smith Hma Pbc Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Mailing Address | Practice Location Address |
---|---|
Dana P Rabideau, MD Po Box 402319, Atlanta, GA 30384-2319 Ph: (479) 709-7399 | Dana P Rabideau, MD 1500 Dodson Ave, Ste 280, Fort Smith, AR 72901-5182 Ph: (479) 709-7480 |
Dr. David A Hebert, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000 | |
Christopher Brian Cross, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Fiorella Nawar, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-709-7402 | |
Charles Moussallem, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901 Phone: 479-709-7480 Fax: 479-709-7479 | |
Ongkarn Sarasombath, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194 | |
Dr. Jacob K Joseph, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Dr. Paul K Howell Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077 |