Dr Pradeep Kumar Pallati, MD | |
1001 S Horsebarn Rd, Rogers, AR 72758-8184 | |
(479) 273-7700 | |
(479) 464-7734 |
Full Name | Dr Pradeep Kumar Pallati |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1001 S Horsebarn Rd, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033323274 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 26215 (Nebraska) | Secondary |
208600000X | Surgery | E-15782 (Arkansas) | Primary |
Entity Name | Alegent Creighton Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598811069 PECOS PAC ID: 1951210418 Enrollment ID: O20040116000817 |
Mailing Address | Practice Location Address |
---|---|
Dr Pradeep Kumar Pallati, MD 1001 S Horsebarn Rd, Rogers, AR 72758-8184 Ph: (479) 273-7700 | Dr Pradeep Kumar Pallati, MD 1001 S Horsebarn Rd, Rogers, AR 72758-8184 Ph: (479) 273-7700 |
Dr. Mary Evelyn Bourland, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2708 Rife Medical Ln, Suite 210, Rogers, AR 72758 Phone: 479-338-3888 Fax: 479-338-4453 | |
Katarzyna Kania, MD Surgery Medicare: Medicare Enrolled Practice Location: 4803 W Highland Knolls Rd Ste 300, Rogers, AR 72758 Phone: 479-521-1500 | |
Mr. Mario E Costaldi, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 8051 Deer Trl, Rogers, AR 72756 Phone: 476-936-1537 | |
James P Irwin, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 S Horsebarn Rd, Rogers, AR 72758 Phone: 479-273-7700 Fax: 479-464-7734 | |
Dr. Donna Dee Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Horsebarn Road, Rogers, AR 72758 Phone: 479-273-7700 Fax: 479-464-7734 | |
Dr. Wayne H Welsher, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2708 Rife Medical Ln, Suite 210, Rogers, AR 72758 Phone: 479-338-3888 Fax: 479-338-4453 |