Samuel Wildmon, RN is a
Registered Nurse based in Heber Springs, Arkansas. Samuel Wildmon is licensed to practice in Arkansas (license number RO92909) and his current practice location is
74 Cleburne Park Rd, Heber Springs, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 362-0943.
NPI number for Samuel Wildmon is 1467203984 and his current mailing address is 74 Cleburne Park Rd, Heber Springs, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467203984.
Provider's Profile
Full Name | Samuel Wildmon |
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Gender | Male |
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Speciality | Registered Nurse |
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Location | 74 Cleburne Park Rd, Heber Springs, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467203984
- Provider Enumeration Date: 04/01/2024
- Last Update Date: 04/01/2024
Medical Identifiers
Medical identifiers for Samuel Wildmon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467203984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RO92909 (Arkansas) | Primary |
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. Samuel Wildmon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samuel Wildmon, RN 74 Cleburne Park Rd, Heber Springs, AR 72543-9106 Ph: (501) 362-0943 | Samuel Wildmon, RN 74 Cleburne Park Rd, Heber Springs, AR 72543-9106 Ph: (501) 362-0943 |
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