Timothy Y Maryanov, MD | |
9616 Rogers Ave, Fort Smith, AR 72903-5769 | |
(479) 242-3310 | |
(479) 439-8868 |
Full Name | Timothy Y Maryanov |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 20 Years |
Location | 9616 Rogers Ave, Fort Smith, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629298500 | NPI | - | NPPES |
195532001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | LL33444 (South Carolina) | Secondary |
207T00000X | Neurological Surgery | E7752 (Arkansas) | Primary |
Entity Name | Fort Smith Hma Pbc Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Mailing Address | Practice Location Address |
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Timothy Y Maryanov, MD 9616 Rogers Ave, Fort Smith, AR 72903-5769 Ph: (479) 551-2127 | Timothy Y Maryanov, MD 9616 Rogers Ave, Fort Smith, AR 72903-5769 Ph: (479) 242-3310 |
Dr. Arthur M Johnson, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave Ste 290, Fort Smith, AR 72901 Phone: 479-709-7175 Fax: 479-709-7180 | |
Adam Michael Olszewski, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 7001 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2370 Fax: 479-274-2380 | |
Albert Macdade, Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 2642 Enid Pl, Fort Smith, AR 72901 Phone: 479-646-5560 | |
Jessica Marie Kopacz, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 7001 Rogers Ave Ste 501, Fort Smith, AR 72903 Phone: 479-573-3101 Fax: 479-573-3102 | |
Dr. Joseph William Queeney, D.O. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3501 We Knight Dr, Fort Smith, AR 72903 Phone: 479-709-6700 Fax: 479-709-6709 |