Virginia Lee Thomas, MD | |
3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 | |
(479) 442-7322 | |
(479) 442-7379 |
Full Name | Virginia Lee Thomas |
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Gender | Female |
Speciality | Pediatrics |
Location | 3380 N Futrall Dr Ste 1, 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 |
---|---|---|---|
1033326434 | NPI | - | NPPES |
181555001 | Medicaid | AR | |
5H710 | Other | AR | AR BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | E-6116 (Arkansas) | Primary |
Entity Name | Medical Associates Of Northwest Arkansas, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671 |
Mailing Address | Practice Location Address |
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Virginia Lee Thomas, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038 | Virginia Lee Thomas, MD 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Ph: (479) 442-7322 |
Laureen J. Benafield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Sean M. Livingston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Dr. Neil A Tracy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3215 N. North Hill Road, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Meredith Anne Denton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Charles S. Ball, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Matthew G Cheadle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3215 N North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000 |