| Amanda Blake Davis, APRN | |
|
3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 | |
| (479) 242-2888 | |
| (479) 242-2889 |
| Full Name | Amanda Blake Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3416 Old Greenwood Rd, 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 |
|---|---|---|---|
| 1790220143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 118856 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A0053338 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Liver And Gastroenterology Pa | 1557672409 | 5 |
| Wh Ar Medical Pllc | 5799195376 | 16 |
| Entity Name | Arkansas Liver And Gastroenterology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932586260 PECOS PAC ID: 1557672409 Enrollment ID: O20150618000749 |
| Entity Name | Wh Ar Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871113449 PECOS PAC ID: 5799195376 Enrollment ID: O20201110003410 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Blake Davis, APRN 2125 Parkridge Dr, Van Buren, AR 72956-7491 Ph: (479) 226-0979 | Amanda Blake Davis, APRN 3416 Old Greenwood Rd, Fort Smith, AR 72903-5462 Ph: (479) 242-2888 |
Steven A. Wells, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000 | |
Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340 | |
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600 | |
Mandi T Williams, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242 | |
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708 | |
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850 | |
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000 |