Gabriel Jose Arredondo Arriola, PA is a medicare enrolled "Physician Assistant" physician in Rogers, Arkansas. His current practice location is
2710 S Rife Medical Ln, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 338-8000.
Gabriel Jose Arredondo Arriola is licensed to practice in Arkansas (license number PA-1023) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710657952.
Physician's Profile
Full Name | Gabriel Jose Arredondo Arriola |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2710 S Rife Medical Ln, Rogers, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710657952
- Provider Enumeration Date: 09/19/2021
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 1254721863
- Enrollment ID: I20211213002768
Medical Identifiers
Medical identifiers for Gabriel Jose Arredondo Arriola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710657952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | PT2021-072 (Arkansas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | PA-1023 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gabriel Jose Arredondo Arriola is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gabriel Jose Arredondo Arriola, PA 1322 Fifth Ave, Lowell, AR 72745-8077 Ph: (479) 214-8247 | Gabriel Jose Arredondo Arriola, PA 2710 S Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-8000 |
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