Advanced Dermatology & Skin Cancer Center, Llc - Medicare Primary Care in Fayetteville, AR

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Advanced Dermatology & Skin Cancer Center, Llc is a medicare enrolled primary clinic (Clinic/center) in Fayetteville, Arkansas. The current practice location for Advanced Dermatology & Skin Cancer Center, Llc is 1444 E Stearns St, Suite 11, Fayetteville, Arkansas. For appointments, you can reach them via phone at (479) 718-7546. The mailing address for Advanced Dermatology & Skin Cancer Center, Llc is 1444 E Stearns St, Suite 11, Fayetteville, Arkansas and phone number is (479) 718-7546.

Advanced Dermatology & Skin Cancer Center, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245426162. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (479) 718-7546.

Contact Information

Advanced Dermatology & Skin Cancer Center, Llc
1444 E Stearns St
Suite 11
Fayetteville
AR 72703-6243
(479) 718-7546
(479) 966-4979

Map and Direction


Primary Care Clinic Profile

Full NameAdvanced Dermatology & Skin Cancer Center, Llc
SpecialityClinic/Center
Location1444 E Stearns St, Fayetteville, Arkansas
Authorized Official Name and PositionLance Brandon Henry (DIRECTOR)
Authorized Official Contact4798568494
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Advanced Dermatology & Skin Cancer Center, Llc
1444 E Stearns St
Suite 11
Fayetteville
AR 72703-6243

Ph: (479) 718-7546		Advanced Dermatology & Skin Cancer Center, Llc
1444 E Stearns St
Suite 11
Fayetteville
AR 72703-6243

Ph: (479) 718-7546

NPI Details:

NPI Number1245426162
Provider Enumeration Date09/25/2007
Last Update Date08/02/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2961588900
Medicare Enrollment IDO20080401000019

Medical Identifiers

Medical identifiers for Advanced Dermatology & Skin Cancer Center, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245426162NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Advanced Dermatology & Skin Cancer Center, Llc acts as a billing entity for following providers:
Provider NameCyril E Severns
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1013904176
PECOS PAC ID: 1052389491
Enrollment ID: I20040922001138
Provider NameLance Henry
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1679682520
PECOS PAC ID: 8921184979
Enrollment ID: I20080401000087
Provider NameJoseph Allen Blackmon
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1003133901
PECOS PAC ID: 0345465621
Enrollment ID: I20180925000272
Provider NameLinsey Lindley
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1912439720
PECOS PAC ID: 2466720545
Enrollment ID: I20210713000908
Provider NameNathan Johnson
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1942731674
PECOS PAC ID: 3779856026
Enrollment ID: I20210722000596
Provider NameMark Franklin Naylor
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1518916386
PECOS PAC ID: 6103716378
Enrollment ID: I20240521001752
Provider NameSeth Michael Martin
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1801355862
PECOS PAC ID: 9335564327
Enrollment ID: I20240924001399

Reviews and Comments


Clinic/Center in Fayetteville, AR


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Phone: 479-935-4834    Fax: 479-751-2878
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Phone: 479-521-5603    Fax: 479-521-5773

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Practice Location: 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703
Phone: 479-527-9966    Fax: 479-527-9677

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Medicare: Medicare Enrolled
Practice Location: 3270 N. Wimberly Drive, Fayetteville, AR 72703
Phone: 479-973-8450    Fax: 479-973-8452
Arcare
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Medicare: Medicare Enrolled
Practice Location: 1792 E Joyce Blvd, Fayetteville, AR 72703
Phone: 501-500-5001    Fax: 501-500-5001

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Medicare: Not Enrolled in Medicare
Practice Location: 3911 North Mall Avenue, Fayetteville, AR 72703
Phone: 866-706-6334    Fax: 713-358-4801

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.