Yelizaveta Valeriyevna Makhatadze, MD | |
7301 Rogers Ave, Fort Smith, AR 72903-4100 | |
(479) 314-5175 | |
(479) 314-5185 |
Full Name | Yelizaveta Valeriyevna Makhatadze |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 27 Years |
Location | 7301 Rogers Ave, Fort Smith, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891744876 | NPI | - | NPPES |
159847001 | Medicaid | AR | |
200116350A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E4609 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
Mercy Hospital Ozark | Ozark, AR | Hospital |
Eastern Oklahoma Medical Center | Poteau, OK | Hospital |
Mercy Hospital Booneville | Booneville, AR | Hospital |
Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Clinic Fort Smith Communities | 3870668510 | 283 |
Mercy Aco Clinical Services Inc | 6901188572 | 73 |
Mercy Aco Clinical Services Inc | 6901188572 | 73 |
Entity Name | Mercy Clinic Fort Smith Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
Entity Name | Mercy Aco Clinical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170203000192 |
Mailing Address | Practice Location Address |
---|---|
Yelizaveta Valeriyevna Makhatadze, MD 7301 Rogers Ave, Fort Smith, AR 72903-4100 Ph: (479) 314-5175 | Yelizaveta Valeriyevna Makhatadze, MD 7301 Rogers Ave, Fort Smith, AR 72903-4100 Ph: (479) 314-5175 |
Dr. Thomas Michael Hillis Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6248 Fax: 479-314-6159 | |
Dr. David B Sills, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8101 Mcclure Dr # 203, Fort Smith, AR 72916 Phone: 792-422-5774 Fax: 479-434-5987 | |
Dr. Brian H Rodgers, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194 | |
Audra M Jackson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3808 South Gary, Fort Smith, AR 72903 Phone: 479-709-7120 Fax: 479-709-7123 | |
Dr. Jessiela Venis Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 612 S 12th St, Fort Smith, AR 72901 Phone: 479-785-2431 Fax: 479-785-0732 | |
Dr. Allen L Beachy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 Cliff Dr, Fort Smith, AR 72903 Phone: 479-259-9286 | |
Dr. Thomas E Cheyne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 We Knight Dr, Fort Smith, AR 72903 Phone: 479-709-6700 Fax: 479-709-6751 |