Dr Boris V Bogomilov, MD | |
3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | |
(479) 571-4338 | |
(479) 571-4015 |
Full Name | Dr Boris V Bogomilov |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 33 Years |
Location | 3211 N Northhills Blvd, Fayetteville, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790749638 | NPI | - | NPPES |
E4311 | Other | AR | STATE LICENSE |
156638001 | Medicaid | AR | |
5020011800 | Other | AR | QUALCHOICE |
200005240A | Medicaid | OK | |
7934401 | Other | AR | AETNA |
207453101 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | E4311 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington Regional Medical System | 8820995434 | 226 |
Entity Name | Washington Regional Medical System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679890966 PECOS PAC ID: 8820995434 Enrollment ID: O20100812000027 |
Mailing Address | Practice Location Address |
---|---|
Dr Boris V Bogomilov, MD 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 Ph: (479) 571-4338 | Dr Boris V Bogomilov, MD 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 Ph: (479) 571-4338 |
Lauren Cantwell Paulk, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1706 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-966-9370 | |
David R Crittenden, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1408 E Elmwood Dr, Fayetteville, AR 72703 Phone: 479-442-0759 | |
Kim R Agee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310 | |
Dr. David A Churchill, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 Phone: 479-571-4338 Fax: 479-571-4015 | |
Dr. Marlan Levan Rhame Iii, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5929 | |
Waqar M Mehal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 E Appleby, Suite 101, Fayetteville, AR 72703 Phone: 479-463-4444 Fax: 479-463-4499 | |
Dr. Jason Glenn Daily, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329 |