Paul Drake, | |
1 Childrens Way # 512-15, Little Rock, AR 72202-3500 | |
(501) 364-5281 | |
Not Available |
Full Name | Paul Drake |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 1 Childrens Way # 512-15, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033642228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E-15131 (Arkansas) | Secondary |
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | E-15131 (Arkansas) | Primary |
Entity Name | University Of Arkansas For Medical Sciences |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
Entity Name | Arkansas Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
Mailing Address | Practice Location Address |
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Paul Drake, Po Box 251418, Little Rock, AR 72225-1418 Ph: (501) 364-1100 | Paul Drake, 1 Childrens Way # 512-15, Little Rock, AR 72202-3500 Ph: (501) 364-5281 |
Sukanthi Kovvuru, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 609-865-3702 | |
Dr. Christopher Brent Lawlis, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 Fax: 501-526-5148 | |
Dr. Albert Lee Kittrell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Bradley Scott Boop, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 10001 Lile Dr, Little Rock, AR 72205 Phone: 501-227-8000 Fax: 501-221-0295 | |
Dr. Gregory Stanley Krulin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 11300 Financial Centre Pkwy, Suite 1200, Little Rock, AR 72211 Phone: 501-526-6090 Fax: 501-526-5503 | |
Carlene Williams Lyle, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2601 Kavanaugh Blvd, Suite 5, Little Rock, AR 72205 Phone: 501-663-8990 Fax: 501-663-8997 | |
Mr. Samuel Tyler Armstrong Bayles, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 700 S Schiller St, Little Rock, AR 72201 Phone: 501-660-6644 |