Justin Wilhite, DO | |
3101 Se 14th St, Bentonville, AR 72712-4900 | |
(479) 986-6084 | |
(479) 986-6107 |
Full Name | Justin Wilhite |
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Gender | Male |
Speciality | Family Medicine |
Location | 3101 Se 14th 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 |
---|---|---|---|
1255781555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E16450 (Arkansas) | Primary |
Entity Name | Mercy Northwest Arkansas Ambulatory Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273 |
Mailing Address | Practice Location Address |
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Justin Wilhite, DO Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 543-6979 | Justin Wilhite, DO 3101 Se 14th St, Bentonville, AR 72712-4900 Ph: (479) 986-6084 |
Dr. Hunter Moore Steadman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th Street, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250 | |
Dr. Gregory Ryan Spears, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Sw Regional Airport Blvd, Bentonville, AR 72713 Phone: 479-553-2664 Fax: 479-553-2536 | |
Raja Sekhar Reddy Dondeti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72716 Phone: 479-268-7640 Fax: 479-254-2951 | |
Ryan A Hueter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Nw Lowes Ave, Suite #2, Bentonville, AR 72712 Phone: 479-254-8563 Fax: 479-254-8564 | |
Dr. Kimberly Joy Emerson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 903 Se 28th St, Suite 1, Bentonville, AR 72712 Phone: 479-464-8111 Fax: 479-464-4475 | |
Dr. Ajdahan Deniz Bicak, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Sw 16th St, Bentonville, AR 72712 Phone: 479-273-2228 Fax: 479-273-3338 |