Mr Clay Rougeau, CRNA | |
525 Western Ave, Suite 201, Conway, AR 72034-4967 | |
(501) 327-6665 | |
(501) 730-0289 |
Full Name | Mr Clay Rougeau |
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Gender | Male |
Speciality | Anesthesiology |
Location | 525 Western Ave, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629065032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C00616 (Arkansas) | Primary |
Entity Name | Ozark Health, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043305501 PECOS PAC ID: 7315923620 Enrollment ID: O20040628000567 |
Mailing Address | Practice Location Address |
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Mr Clay Rougeau, CRNA 525 Western Ave, Suite 201, Conway, AR 72034-4967 Ph: (501) 327-6665 | Mr Clay Rougeau, CRNA 525 Western Ave, Suite 201, Conway, AR 72034-4967 Ph: (501) 327-6665 |
Mr. David John Holmes, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Ste 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Carl Mark Clark, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Ste 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Mrs. Mary 'frankie' Sears, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Mr. Charles Anthony Turchi, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Jevin Allen Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Mr. Mark N Meaux, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 | |
Jennifer Evins Bishop, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2850 Prince St Ste 43, Conway, AR 72034 Phone: 501-327-6665 |