Donna Beallis D.o. P.a. | |
153 E Monte Painter Dr Fayetteville AR 72703-4002 | |
(479) 444-2200 | |
(479) 444-2390 |
Full Name | Donna Beallis D.o. P.a. |
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Speciality | Family Medicine |
Location | 153 E Monte Painter Dr, Fayetteville, Arkansas |
Authorized Official Name and Position | Donna B Beallis (OWNER) |
Authorized Official Contact | 4798060647 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Donna Beallis D.o. P.a. Po Box 11134 Fort Smith AR 72917-1134 Ph: (479) 285-5497 | Donna Beallis D.o. P.a. 153 E Monte Painter Dr Fayetteville AR 72703-4002 Ph: (479) 444-2200 |
NPI Number | 1184951998 |
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Provider Enumeration Date | 11/16/2009 |
Last Update Date | 10/05/2021 |
Medicare PECOS PAC ID | 2668659897 |
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Medicare Enrollment ID | O20110615000528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184951998 | NPI | - | NPPES |
200199440A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | E-5626 (Arkansas) | Primary |
Provider Name | Donna B Beallis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669423125 PECOS PAC ID: 5890757736 Enrollment ID: I20080827000615 |
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 | |