Jon R Hendrickson, MD | |
7303 Rogers Ave, Fort Smith, AR 72903-4112 | |
(479) 478-7200 | |
(479) 478-7225 |
Full Name | Jon R Hendrickson |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 7303 Rogers Ave, Fort Smith, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447210448 | NPI | - | NPPES |
52930 | Other | AR | BLUE CROSS & BLUE SHIELD |
17653000000 | Other | QUALCHOICE | |
9718882 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N7630 (Arkansas) | Primary |
Entity Name | Pediatric Partners Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932168606 PECOS PAC ID: 2860476132 Enrollment ID: O20040708001418 |
Mailing Address | Practice Location Address |
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Jon R Hendrickson, MD Po Box 11017, Fort Smith, AR 72917-1017 Ph: (479) 478-7200 | Jon R Hendrickson, MD 7303 Rogers Ave, Fort Smith, AR 72903-4112 Ph: (479) 478-7200 |
Dr. Kevin Allen Davis, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 501-593-3845 | |
Casey D Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4900 Kelley Highway, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Dr. Merle E Mcclain, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7001 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077 | |
Kathryn Denise Hendrickson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7303 Rogers Ave, Fort Smith, AR 72903 Phone: 479-478-7200 Fax: 478-478-7225 | |
Dr. Charles Henry Floyd, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3304 Newport Pl, Fort Smith, AR 72903 Phone: 479-651-4543 | |
Manar S Ibrahim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 S Waldron Rd, Ste 100, Fort Smith, AR 72903 Phone: 479-709-7337 Fax: 479-709-7461 | |
Joshua R Wilkinson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 Phone: 479-763-3050 Fax: 479-763-3281 |