Grady Glen Fincher, MD is a
Otolaryngology physician based in Fayetteville, Arkansas. Grady Glen Fincher is licensed to practice in Arkansas (license number C2972) and his current practice location is 2100 N Green Acres Rd, Ste B, Fayetteville, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 521-0455.
NPI number for Grady Glen Fincher is 1679579031 and his current mailing address is 2100 N Green Acres Rd, Ste B, Fayetteville, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679579031.
Physician's Profile
| Full Name | Grady Glen Fincher |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 2100 N Green Acres Rd, Fayetteville, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679579031
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 07/11/2007
Medical Identifiers
Medical identifiers for Grady Glen Fincher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679579031 | NPI | - | NPPES |
| 106242001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | C2972 (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. Grady Glen Fincher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grady Glen Fincher, MD
2100 N Green Acres Rd, Ste B,
Fayetteville, AR 72703-2885
Ph: (479) 521-0455 | Grady Glen Fincher, MD
2100 N Green Acres Rd, Ste B,
Fayetteville, AR 72703-2885
Ph: (479) 521-0455 |
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