Steven A Edmondson, MD | |
3215 N North Hills Blvd, Hospital Medicine Group, Fayetteville, AR 72703 | |
(479) 463-1000 | |
Not Available |
Full Name | Steven A Edmondson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3215 N North Hills Blvd, 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 |
---|---|---|---|
1831186816 | NPI | - | NPPES |
105806001 | Medicaid | AR | |
100079950B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C4929 (Arkansas) | Primary |
Entity Name | Washington Regional Medical System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306801485 PECOS PAC ID: 8820995434 Enrollment ID: O20051208000082 |
Mailing Address | Practice Location Address |
---|---|
Steven A Edmondson, MD 12 E Appleby, Clinic Administration, Fayetteville, AR 72703 Ph: (479) 463-1704 | Steven A Edmondson, MD 3215 N North Hills Blvd, Hospital Medicine Group, Fayetteville, AR 72703 Ph: (479) 463-1000 |
Lauren Cantwell Paulk, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1706 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-966-9370 | |
David R Crittenden, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1408 E Elmwood Dr, Fayetteville, AR 72703 Phone: 479-442-0759 | |
Kim R Agee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310 | |
Dr. David A Churchill, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 Phone: 479-571-4338 Fax: 479-571-4015 | |
Dr. Marlan Levan Rhame Iii, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5929 | |
Waqar M Mehal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 E Appleby, Suite 101, Fayetteville, AR 72703 Phone: 479-463-4444 Fax: 479-463-4499 | |
Dr. Jason Glenn Daily, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329 |