Mark L Stillwell, MD | |
6801 Rogers Ave Fl 5, Fort Smith, AR 72903-4067 | |
(479) 274-4100 | |
(479) 274-4199 |
Full Name | Mark L Stillwell |
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Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 6801 Rogers Ave Fl 5, 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 |
---|---|---|---|
1568459451 | NPI | - | NPPES |
114655001 | Medicaid | AR | |
100123480A | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | N7411 (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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Mark L Stillwell, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (479) 284-4100 | Mark L Stillwell, MD 6801 Rogers Ave Fl 5, Fort Smith, AR 72903-4067 Ph: (479) 274-4100 |
Dr. David A Hebert, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000 | |
Christopher Brian Cross, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Fiorella Nawar, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-709-7402 | |
Charles Moussallem, M.D Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901 Phone: 479-709-7480 Fax: 479-709-7479 | |
Ongkarn Sarasombath, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194 | |
Dr. Jacob K Joseph, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Dr. Paul K Howell Jr., MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077 |