Dr Edward Jason Vanderburg, MD | |
6015 Chenonceau Blvd Ste 140, Little Rock, AR 72223-4584 | |
(501) 868-8410 | |
(501) 868-8488 |
Full Name | Dr Edward Jason Vanderburg |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 21 Years |
Location | 6015 Chenonceau Blvd Ste 140, Little Rock, 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 |
---|---|---|---|
1376568204 | NPI | - | NPPES |
162281001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E4348 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arkansas Health Group | 7911802079 | 517 |
Entity Name | Arkansas Health Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689633448 PECOS PAC ID: 7911802079 Enrollment ID: O20060329000704 |
Entity Name | Arkansas Health Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528323607 PECOS PAC ID: 7911802079 Enrollment ID: O20120803000152 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Jason Vanderburg, MD 6015 Chenonceau Blvd Ste 140, Little Rock, AR 72223-4584 Ph: (501) 868-8410 | Dr Edward Jason Vanderburg, MD 6015 Chenonceau Blvd Ste 140, Little Rock, AR 72223-4584 Ph: (501) 868-8410 |
Dr. William Lyman Rutledge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9712 W Markham St, Little Rock, AR 72205 Phone: 501-954-8800 Fax: 501-954-8803 | |
Allan Dee Mckenzie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4523 Woodlawn Dr, Little Rock, AR 72205 Phone: 501-663-2363 Fax: 501-663-2362 | |
Dr. Steven Kyser, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-5050 | |
Kasey Renea Kane, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 S Bowman Rd, Little Rock, AR 72211 Phone: 501-558-4100 | |
Dr. William Wells Burnham, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000 Fax: 501-257-5071 | |
Deipti H Trehun, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 530, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-686-8421 | |
Dr. Pham Hieu Liem, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, 748, Little Rock, AR 72205 Phone: 501-686-5944 Fax: 501-686-5884 |