Mr Nathan Gerrell Fawbush, APRN is a medicare enrolled "Nurse Practitioner - Family" in Scott, Arkansas. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice St Vincent Medical Group and his current practice location is
15111 Highway 165, Scott, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 552-7999.
Mr Nathan Gerrell Fawbush is licensed to practice in Arkansas (license number A005332) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811401193.
Provider's Profile
Full Name | Mr Nathan Gerrell Fawbush |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 15111 Highway 165, Scott, Arkansas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Nathan Gerrell Fawbush graduated from nursing school in 2017
NPI Data:
- NPI Number: 1811401193
- Provider Enumeration Date: 11/25/2017
- Last Update Date: 03/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123389046
- Enrollment ID: I20180309000735
Medical Identifiers
Medical identifiers for Mr Nathan Gerrell Fawbush such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811401193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | A005332 (Arkansas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
St Vincent Medical Group | 5698758803 | 204 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Nathan Gerrell Fawbush allows following entities to bill medicare on his behalf.
Entity Name | St Vincent Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
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Entity Name | D&d Doctors Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831626183 PECOS PAC ID: 5597025163 Enrollment ID: O20180131001186 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Nathan Gerrell Fawbush is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Nathan Gerrell Fawbush, APRN 15111 Highway 165, Scott, AR 72142 Ph: (501) 552-7999 | Mr Nathan Gerrell Fawbush, APRN 15111 Highway 165, Scott, AR 72142 Ph: (501) 552-7999 |
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