Dr Kurt Gerard Zimmer, DO | |
1100 N College Ave, Fayetteville, AR 72703-1944 | |
(479) 443-4301 | |
Not Available |
Full Name | Dr Kurt Gerard Zimmer |
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Gender | Male |
Speciality | Family Medicine |
Location | 1100 N College Ave, Fayetteville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104866029 | NPI | - | NPPES |
242236909 | Medicaid | MO | |
1104866029 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R3F95 (Missouri) | Secondary |
207Q00000X | Family Medicine | 2481 (Oklahoma) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
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Dr Kurt Gerard Zimmer, DO Po Box 2429, Smyrna, TN 37167-1719 Ph: (479) 443-4301 | Dr Kurt Gerard Zimmer, DO 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301 |
Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469 | |
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057 | |
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793 | |
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933 | |
Stanley Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120 | |
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 |