Monique Thammavong, APRN, NP-C | |
209 Pointer Trl W Ste A, Van Buren, AR 72956-2238 | |
(479) 474-1100 | |
(479) 471-1335 |
Full Name | Monique Thammavong |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 209 Pointer Trl W Ste A, Van Buren, 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 |
---|---|---|---|
1275932253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A004175 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health - Fort Smith | Fort smith, AR | Hospital |
Baptist Health - Van Buren | Van buren, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health Services | 0648514133 | 135 |
Entity Name | Fort Smith Hma Pbc Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477888907 PECOS PAC ID: 8224172127 Enrollment ID: O20100216000383 |
Entity Name | Baptist Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
Mailing Address | Practice Location Address |
---|---|
Monique Thammavong, APRN, NP-C 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (479) 474-1100 | Monique Thammavong, APRN, NP-C 209 Pointer Trl W Ste A, Van Buren, AR 72956-2238 Ph: (479) 474-1100 |
Mrs. Charlotte Jane Stark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-314-4000 Fax: 479-314-4050 | |
Jacee Mae Banning, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 Chestnut St Ste B, Van Buren, AR 72956 Phone: 479-262-2724 Fax: 479-262-2727 | |
Mrs. Stephanie Ann Davis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Broadway St, Van Buren, AR 72956 Phone: 479-474-5061 | |
Mrs. Jillian Tylar Swain, DNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1902 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-298-5047 | |
Stefanie A Ellis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-314-4000 Fax: 479-314-4050 | |
Melissa Stacey Romero, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1404 N 28th St, Van Buren, AR 72956 Phone: 479-474-8021 |