Hailey C Farris, MD | |
200 N 3rd St, Dardanelle, AR 72834-3802 | |
(479) 229-6191 | |
(479) 229-6194 |
Full Name | Hailey C Farris |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 200 N 3rd St, Dardanelle, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447514310 | NPI | - | NPPES |
209831001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E9214 (Arkansas) | Primary |
Entity Name | River Valley Medical Center Family Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245437490 PECOS PAC ID: 1759464035 Enrollment ID: O20080208000579 |
Entity Name | Flagg Emergency Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912464405 PECOS PAC ID: 5698008019 Enrollment ID: O20190617002551 |
Entity Name | Dardanelle Regional Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184629594 PECOS PAC ID: 0345576500 Enrollment ID: O20220831003913 |
Entity Name | Dardanelle Regional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730737131 PECOS PAC ID: 0345576500 Enrollment ID: O20230711000936 |
Mailing Address | Practice Location Address |
---|---|
Hailey C Farris, MD 200 N 3rd St, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 | Hailey C Farris, MD 200 N 3rd St, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 |
Matthew Self, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-6167 | |
Allan K Kirkland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-229-8000 Fax: 479-477-3924 | |
Ross Lenzen, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 N 3rd St Ste 1, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Breanna Harris, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3098 |