Dr Brent Vaught Witherington, MD | |
1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 | |
(479) 442-0006 | |
(479) 442-3038 |
Full Name | Dr Brent Vaught Witherington |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 1188 N Salem Rd Ste 6, Fayetteville, Arkansas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427144005 | NPI | - | NPPES |
166741001 | Medicaid | AR | |
200122940A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-4894 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Arkansas Counseling And Guidance Center, Inc | 1355326174 | 43 |
Medical Associates Of Northwest Arkansas, Pa | 3678542073 | 95 |
Adolescent And Family Advocates | 7517384241 | 4 |
Entity Name | Perspectives Behavioral Health Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588709646 PECOS PAC ID: 2264415512 Enrollment ID: O20040609000526 |
Entity Name | Western Arkansas Counseling & Guidance Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595 |
Entity Name | Medical Associates Of Northwest Arkansas, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671 |
Entity Name | Fort Smith Hma Pbc Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Entity Name | Adolescent And Family Advocates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578775466 PECOS PAC ID: 7517384241 Enrollment ID: O20200826003204 |
Entity Name | Brent V Witherington Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972247211 PECOS PAC ID: 6305229147 Enrollment ID: O20220811002460 |
Mailing Address | Practice Location Address |
---|---|
Dr Brent Vaught Witherington, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038 | Dr Brent Vaught Witherington, MD 1188 N Salem Rd Ste 6, Fayetteville, AR 72704-8803 Ph: (479) 442-0006 |
Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469 | |
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057 | |
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793 | |
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933 | |
Stanley Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120 | |
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 |