Zachary Fendley, | |
1500 Wilson Loop, Ward, AR 72176-8656 | |
(501) 941-5630 | |
(501) 353-2599 |
Full Name | Zachary Fendley |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 10 Years |
Location | 1500 Wilson Loop, Ward, 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 |
---|---|---|---|
1114397502 | NPI | - | NPPES |
210596721 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTR2837 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allied Therapy And Consulting Services, Pa | 5597094920 | 8 |
Provider Name | Allied Therapy And Consulting Services, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134185937 PECOS PAC ID: 5597094920 Enrollment ID: O20190911000702 |
Mailing Address | Practice Location Address |
---|---|
Zachary Fendley, 1500 Wilson Loop, Ward, AR 72176-8656 Ph: (501) 941-5630 | Zachary Fendley, 1500 Wilson Loop, Ward, AR 72176-8656 Ph: (501) 941-5630 |
Glyn Elwin Sawyer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Mr. Brad Thomas Westbrook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Johanna Bevis, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-1522 | |
Mr. William Brian Brady, MS OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 | |
Kari Bridges, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 Fax: 501-843-2270 | |
Garrett Polk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Wilson Loop, Ward, AR 72176 Phone: 501-941-5630 |