Fallon E Wyatt, | |
4001 Commercial Center Dr Ste 1, Marion, AR 72364-9616 | |
(901) 496-0071 | |
Not Available |
Full Name | Fallon E Wyatt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 4001 Commercial Center Dr Ste 1, Marion, 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 |
---|---|---|---|
1093191819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A004461 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vital Wellness Clinic Llc | 8729491345 | 2 |
Entity Name | Vital Wellness Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013528017 PECOS PAC ID: 8729491345 Enrollment ID: O20201228001908 |
Mailing Address | Practice Location Address |
---|---|
Fallon E Wyatt, 4001 Commercial Center Dr Ste 1, Marion, AR 72364-9616 Ph: (901) 496-0071 | Fallon E Wyatt, 4001 Commercial Center Dr Ste 1, Marion, AR 72364-9616 Ph: (901) 496-0071 |
Teddy Phillips, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 Block St, Marion, AR 72364 Phone: 870-559-2314 Fax: 870-559-2392 | |
Ms. Lisa Renee Bridges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 423 Magnolia St, Marion, AR 72364 Phone: 901-562-9464 | |
Mrs. Kristy Anne Whited, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4001 Commercial Center Dr Ste 1, Marion, AR 72364 Phone: 870-636-9218 | |
Catrina Evette Selvy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 635 Riverwest Cir, Marion, AR 72364 Phone: 501-350-0725 | |
Robin Lynne Phillips, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1139 State Highway 77, Marion, AR 72364 Phone: 870-559-2480 Fax: 870-559-2555 | |
Jama Bradford Davis, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Bancario, Suite 1, Marion, AR 72364 Phone: 870-739-8670 Fax: 870-739-8706 |