Fawad H Walajahi, MD | |
1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | |
(870) 535-7457 | |
(870) 535-2522 |
Full Name | Fawad H Walajahi |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 48 Years |
Location | 1801 W 40th Ave, Pine Bluff, 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 |
---|---|---|---|
1053316067 | NPI | - | NPPES |
55444 | Other | AR | BCBS |
050019322 | Other | RAILROAD MEDICARE/PGBA | |
103071001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R3423 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Howard Memorial Hospital | Nashville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Howard Memorial Hospital | 7315851599 | 10 |
Entity Name | Howard Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609920370 PECOS PAC ID: 7315851599 Enrollment ID: O20051221000638 |
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
Entity Name | Jefferson Regional Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163 |
Entity Name | American Hope And Health Clinic Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538781208 PECOS PAC ID: 0547674293 Enrollment ID: O20210121000277 |
Mailing Address | Practice Location Address |
---|---|
Fawad H Walajahi, MD Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457 | Fawad H Walajahi, MD 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 Ph: (870) 535-7457 |
Ferdinand K Samuel, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Charles J Stearns, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jeffrey S Bryles, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 |