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1806 N Crossover Rd Suite 4 Fayetteville AR 72701-2725 | |
(479) 521-5603 | |
(479) 521-5773 |
Full Name | |
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Speciality | Family Medicine |
Location | 1806 N Crossover Rd, Fayetteville, Arkansas |
Authorized Official Name and Position | Bryan E Abernathy (DOCTOR) |
Authorized Official Contact | 4795215603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1806 N Crossover Rd Suite 4 Fayetteville AR 72701-2725 Ph: (479) 521-5603 | 1806 N Crossover Rd Suite 4 Fayetteville AR 72701-2725 Ph: (479) 521-5603 |
NPI Number | 1023313731 |
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Provider Enumeration Date | 01/12/2011 |
Last Update Date | 07/04/2023 |
Medicare PECOS PAC ID | 6507003316 |
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Medicare Enrollment ID | O20130515000655 |
Identifier | Type | State | Issuer |
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1023313731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | R3155 (Arkansas) | Primary |
Provider Name | Bryan E Abernathy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649218892 PECOS PAC ID: 6305805029 Enrollment ID: I20050318000122 |
K E Management Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 E Augustine Ln Ste 7, Fayetteville, AR 72703 Phone: 479-200-9812 Fax: 866-243-7203 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703 Phone: 501-500-5001 Fax: 501-500-5001 | |