Shannon Wipf, MD | |
1615 W Persimmon St, Rogers, AR 72756-3359 | |
(479) 636-7192 | |
Not Available |
Full Name | Shannon Wipf |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1615 W Persimmon St, Rogers, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538107511 | NPI | - | NPPES |
146562001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E3256 (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 |
---|---|
Shannon Wipf, MD 1615 W Persimmon St, Rogers, AR 72756-3383 Ph: (479) 636-7192 | Shannon Wipf, MD 1615 W Persimmon St, Rogers, AR 72756-3359 Ph: (479) 636-7192 |
Anthony Meloy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4305 S Pleasant Crossing Blvd Ste 3, Rogers, AR 72758 Phone: 479-289-8376 | |
Dr. John Newland Redwine, DO, FAAFP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24 Bracebridge Rd, Rogers, AR 72756 Phone: 479-871-1981 | |
Dr. Dustin Paul Pope, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5206 W Village Pkwy Ste 10, Rogers, AR 72758 Phone: 479-657-6600 Fax: 479-657-6632 | |
Dr. Andrew White, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 | |
Shelby Wigginton, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln Ste 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Dr. Amanda Marie Ferguson Wood, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533 | |
Martin A Hannon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3730 S Pinnacle Hills Pkwy Ste 2, Rogers, AR 72758 Phone: 479-464-5599 Fax: 479-464-5598 |