Julie Lynette Tate, MD | |
1110 Se 30th St, Bentonville, AR 72712 | |
(479) 282-2966 | |
(479) 282-2967 |
Full Name | Julie Lynette Tate |
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Gender | Female |
Speciality | Pediatrics |
Location | 1110 Se 30th St, Bentonville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578731154 | NPI | - | NPPES |
192425001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E7529 (Arkansas) | Primary |
Entity Name | Northwest Benton County Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505 |
Mailing Address | Practice Location Address |
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Julie Lynette Tate, MD Po Box 2760, Bentonville, AR 72712-7704 Ph: (314) 620-1719 | Julie Lynette Tate, MD 1110 Se 30th St, Bentonville, AR 72712 Ph: (479) 282-2966 |
Dr. Jeffrey Allen Savage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 Se 28th Street, Suite 2, Bentonville, AR 72712 Phone: 479-282-2966 | |
Dr. James Gavin Scherer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Shanica Nembhard, Pediatrics Medicare: Medicare Enrolled Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Dr. Shannon Arleese Jewell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Dr. Susan Sullivan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Dr. Jason B. Foster, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2719 Se I St, Bentonville, AR 72712 Phone: 479-273-5437 Fax: 479-273-9932 | |
Yancy Craft, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2719 Se I St, Bentonville, AR 72712 Phone: 479-273-5437 Fax: 479-273-9932 |