Jantzen T Slater, MD | |
199 E. Main St., Farmington, AR 72730-3077 | |
(479) 267-1001 | |
(479) 267-1026 |
Full Name | Jantzen T Slater |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 10 Years |
Location | 199 E. Main St., Farmington, 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 |
---|---|---|---|
1063891570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9865992-1205 (Utah) | Secondary |
207Q00000X | Family Medicine | E-11402 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Washington Regional Medical System | 8820995434 | 226 |
Entity Name | Washington Regional Medical System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326376419 PECOS PAC ID: 8820995434 Enrollment ID: O20100130000001 |
Entity Name | Washington Regional Medical System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275839011 PECOS PAC ID: 8820995434 Enrollment ID: O20110309000146 |
Mailing Address | Practice Location Address |
---|---|
Jantzen T Slater, MD Po Box 550, Lowell, AR 72745 Ph: (479) 463-7775 | Jantzen T Slater, MD 199 E. Main St., Farmington, AR 72730-3077 Ph: (479) 267-1001 |
Jamal Ziad Abdin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 199 E Main St, Farmington, AR 72730 Phone: 479-267-1001 Fax: 479-267-1026 | |
Dr. Benjamin Wagner Carlyle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3150 E Heritage Pkwy Ste 1, Farmington, AR 72730 Phone: 479-400-1140 Fax: 479-400-1151 | |
Amber Ray, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 370 W Tyler Rd, Farmington, AR 72730 Phone: 903-949-7273 | |
Charlene Mae Jaques, APN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11112 Shumate Crossing Rd, Farmington, AR 72730 Phone: 479-856-9363 |