Dr Jon Everett Shoppach, MD | |
2710 Rife Medical Lane, Rogers, AR 72758-1452 | |
(479) 338-8000 | |
(501) 664-0302 |
Full Name | Dr Jon Everett Shoppach |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 2710 Rife Medical Lane, Rogers, 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 |
---|---|---|---|
1093770786 | NPI | - | NPPES |
142729001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E2528 (Arkansas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | E-2528 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
Mercy Hospital Berryville | Berryville, AR | Hospital |
Northwest Medical Center-springdale | Springdale, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinnacle Radiology Pllc | 6507932043 | 11 |
Entity Name | Pinnacle Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962674911 PECOS PAC ID: 6507932043 Enrollment ID: O20080905000541 |
Mailing Address | Practice Location Address |
---|---|
Dr Jon Everett Shoppach, MD Po Box 2161, Lowell, AR 72745-2161 Ph: (918) 392-1705 | Dr Jon Everett Shoppach, MD 2710 Rife Medical Lane, Rogers, AR 72758-1452 Ph: (479) 338-8000 |
Phillip Ryan Hill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 | |
Tanner Nichols, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 870-897-5840 | |
Aaron Francis Woodward, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 | |
Dr. G Glen Chitwood, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Lane, Rogers, AR 72758 Phone: 479-338-8000 Fax: 501-664-0302 | |
Dr. John Keith Hedgecock, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Lane, Rogers, AR 72758 Phone: 479-338-8000 Fax: 501-664-0302 | |
Michael Platt, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 15 W Nottingham Ln, Rogers, AR 72758 Phone: 479-464-9732 |