Dr Chansamorn Morn Nouansavane, MD | |
14 Goehic Ridge Rd, Cornerstone Family Medical, Van Buren, AR 72956 | |
(479) 474-1100 | |
(479) 471-5407 |
Full Name | Dr Chansamorn Morn Nouansavane |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 14 Goehic Ridge Rd, Van Buren, 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 |
---|---|---|---|
1811098403 | NPI | - | NPPES |
440144301 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-6210 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health - Fort Smith | Fort smith, AR | Hospital |
Baptist Health - Van Buren | Van buren, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Services | 0648514133 | 135 |
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 |
Entity Name | Baptist Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
Mailing Address | Practice Location Address |
---|---|
Dr Chansamorn Morn Nouansavane, MD 506 Rena Rd, Van Buren, AR 72956-6401 Ph: (479) 474-3929 | Dr Chansamorn Morn Nouansavane, MD 14 Goehic Ridge Rd, Cornerstone Family Medical, Van Buren, AR 72956 Ph: (479) 474-1100 |
Misty Roshel Gonzalez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-314-4000 | |
Dr. Stephanie E Frisbie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 Broadway St, Van Buren, AR 72956 Phone: 479-474-5061 Fax: 479-922-2007 | |
Dr. George Henry Tompkins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Fayetteville St, Van Buren, AR 72956 Phone: 479-474-7771 Fax: 479-474-3552 | |
Mrs. Heather Mutters, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Pointer Trl W, Van Buren, AR 72956 Phone: 479-922-2222 Fax: 479-922-2227 | |
Carolyn M Dillard, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Pointer Trl W, Van Buren, AR 72956 Phone: 479-922-2222 Fax: 479-922-2227 | |
Suh N Niba, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Gothic Ridge Rd, Van Buren, AR 72956 Phone: 479-474-1100 Fax: 479-474-0069 | |
Terri J Lewelling, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 822 Broadway St, Van Buren, AR 72956 Phone: 479-474-5061 Fax: 479-474-0195 |