Dr Dalton L Gray Ii, MD | |
3 E Appleby Rd, Suite 101, Fayetteville, AR 72703 | |
(479) 404-1010 | |
(479) 404-1011 |
Full Name | Dr Dalton L Gray Ii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 3 E Appleby Rd, 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 |
---|---|---|---|
1033283155 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C-6610 (Arkansas) | Secondary |
207Q00000X | Family Medicine | C-6610 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bhg L Llc | 0547699225 | 13 |
Entity Name | Washington Regional Medical System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326376419 PECOS PAC ID: 8820995434 Enrollment ID: O20100130000001 |
Entity Name | Urgent Team Of Arkansas Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209 |
Entity Name | Bhg L Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699321406 PECOS PAC ID: 0547699225 Enrollment ID: O20200331003025 |
Mailing Address | Practice Location Address |
---|---|
Dr Dalton L Gray Ii, MD Po Box 550, Lowell, AR 72745-0550 Ph: (479) 463-7775 | Dr Dalton L Gray Ii, MD 3 E Appleby Rd, Suite 101, Fayetteville, AR 72703 Ph: (479) 404-1010 |
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 |