Dr Peter A Innes, MD | |
603-2 N Progress Ave Ste 200, Siloam Springs, AR 72761-4206 | |
(479) 215-3040 | |
(479) 524-4363 |
Full Name | Dr Peter A Innes |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 603-2 N Progress Ave Ste 200, Siloam Springs, 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 |
---|---|---|---|
1255343455 | NPI | - | NPPES |
100421520B | Medicaid | KS | |
549477 | Medicaid | AZ | |
100421520D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 04-28693 (Kansas) | Secondary |
208600000X | Surgery | 01-28693 (Kansas) | Secondary |
208600000X | Surgery | 43678 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Berryville | Berryville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health Northwest Arkansas Communities | 0648177873 | 269 |
Entity Name | Mercy Health Northwest Arkansas Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
Entity Name | Sgoh Acquisition Inc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter A Innes, MD Po Box 859, Payson, AZ 85547-0859 Ph: (928) 472-3472 | Dr Peter A Innes, MD 603-2 N Progress Ave Ste 200, Siloam Springs, AR 72761-4206 Ph: (479) 215-3040 |
Patrick C. Schiefelbein, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 603-2 N Progress Ave, Suite 200, Siloam Springs, AR 72761 Phone: 479-215-3040 Fax: 479-524-4363 |