Mr Matthew Brister, | |
1555 Exchange Ave, Conway, AR 72032-7824 | |
(713) 793-4603 | |
Not Available |
Full Name | Mr Matthew Brister |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1555 Exchange Ave, Conway, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154816098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 124193 (Arkansas) | Primary |
363LF0000X | Nurse Practitioner - Family | AP137814 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center- Conway | Conway, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greenbrier Emergency Services, Inc. | 2668377359 | 38 |
Entity Name | Baptist Medcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699868323 PECOS PAC ID: 5698667624 Enrollment ID: O20040325001348 |
Entity Name | Greenbrier Emergency Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568401461 PECOS PAC ID: 2668377359 Enrollment ID: O20191011002500 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew Brister, 45 Persimmon Ridge Dr, Greenbrier, AR 72058-8818 Ph: (979) 549-5044 | Mr Matthew Brister, 1555 Exchange Ave, Conway, AR 72032-7824 Ph: (713) 793-4603 |
Marina Gray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860 | |
Mckenzie Lauren Cotton, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 Skyline Dr, Conway, AR 72032 Phone: 501-499-6222 | |
Cynthia Lou Grubbs, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Hogan Ln, Conway, AR 72034 Phone: 501-327-1150 Fax: 501-327-3427 | |
Mrs. Leah Maranda Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-279-9011 | |
Keisha A. Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 479-518-4977 Fax: 479-203-3030 | |
Mrs. Shakenia A Tate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032 Phone: 501-329-6851 | |
David Adam Steinfeld, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S German Ln Ste 1, Conway, AR 72034 Phone: 501-358-6606 Fax: 501-325-5554 |