Dr Jeffrey Allen Swetnam, MD | |
3623 Johnson Mill Blvd Ste 203, Springdale, AR 72762-6413 | |
(479) 966-4174 | |
(479) 301-5334 |
Full Name | Dr Jeffrey Allen Swetnam |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 3623 Johnson Mill Blvd Ste 203, Springdale, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326022534 | NPI | - | NPPES |
200462050T | Medicaid | OK | |
200218280A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25365 (Oklahoma) | Secondary |
208600000X | Surgery | E-9062 (Arkansas) | Primary |
Entity Name | Swetnam Cosmetic Surgery, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477033728 PECOS PAC ID: 0648522250 Enrollment ID: O20181010000289 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Allen Swetnam, MD 3623 Johnson Mill Blvd Ste 203, Springdale, AR 72762-6413 Ph: (479) 966-4174 | Dr Jeffrey Allen Swetnam, MD 3623 Johnson Mill Blvd Ste 203, Springdale, AR 72762-6413 Ph: (479) 966-4174 |
Dr. Guy Raoul Rosenschein, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762 Phone: 479-927-3100 Fax: 479-927-3131 | |
Sabina M Siddiqui, MD Surgery Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6800 | |
John David Alston, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 724 Deaver St, Springdale, AR 72764 Phone: 479-751-3202 Fax: 479-756-2721 | |
Jerry S Dorman, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 724 Deaver St, Springdale, AR 72764 Phone: 479-751-3202 Fax: 479-756-2721 | |
Robert A Petrino, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 706 A Quandt Ave, Springdale, AR 72764 Phone: 479-757-2030 Fax: 479-750-6236 | |
Dr. John Henry Kendrick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762 Phone: 479-927-3100 Fax: 479-927-3131 |