- Medicare Primary Care in Fayetteville, AR

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is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Fayetteville, Arkansas. The current practice location for is 1041 N Garland Ave, Fayetteville, Arkansas. For appointments, you can reach them via phone at (479) 966-5088. The mailing address for is 1041 N Garland Ave, Fayetteville, Arkansas and phone number is (479) 966-5088.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134542434. 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) 966-5088.

Contact Information

1041 N Garland Ave
Fayetteville
AR 72701-1722
(479) 966-5088
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location1041 N Garland Ave, Fayetteville, Arkansas
Authorized Official Name and PositionTracey R Moore (OFFICE MANAGER)
Authorized Official Contact4799665088
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1041 N Garland Ave
Fayetteville
AR 72701-1722

Ph: (479) 966-5088
1041 N Garland Ave
Fayetteville
AR 72701-1722

Ph: (479) 966-5088

NPI Details:

NPI Number1134542434
Provider Enumeration Date01/23/2014
Last Update Date08/27/2015

Medicare PECOS Information:

Medicare PECOS PAC ID4688899883
Medicare Enrollment IDO20140702000127

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134542434NPI-NPPES
208163002MedicaidAR
208165002MedicaidAR
208178002MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. acts as a billing entity for following providers:
Provider NameDavid J Foscue
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1366409930
PECOS PAC ID: 6002806353
Enrollment ID: I20040621001825
Provider NameRobert C Karas
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1679512248
PECOS PAC ID: 5890727531
Enrollment ID: I20060609000021
Provider NameKelsey O'connor Camp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023431749
PECOS PAC ID: 0143451401
Enrollment ID: I20140331000171
Provider NameGretchen E Brannon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376806760
PECOS PAC ID: 0941433056
Enrollment ID: I20140425000445
Provider NameLaura Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891115663
PECOS PAC ID: 7113147406
Enrollment ID: I20141009000216
Provider NamePamela Mcvey Ramsey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457453573
PECOS PAC ID: 2961453857
Enrollment ID: I20141121000519
Provider NameKelley A Hinely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619395811
PECOS PAC ID: 4284959693
Enrollment ID: I20150205002200
Provider NameAdaora S Udekwu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487880373
PECOS PAC ID: 9436477957
Enrollment ID: I20150414000906
Provider NameMark A Spears
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518358522
PECOS PAC ID: 0244551331
Enrollment ID: I20150601002170
Provider NameMindy Kazery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164804209
PECOS PAC ID: 0941516108
Enrollment ID: I20150904000290
Provider NameJacquelyn R Lange-halley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1699065110
PECOS PAC ID: 5991024556
Enrollment ID: I20151109000457
Provider NameDeborah Mullens Shirey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003805771
PECOS PAC ID: 2769445667
Enrollment ID: I20151210001337
Provider NameWillard Howard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487609541
PECOS PAC ID: 3779551106
Enrollment ID: I20160428000728
Provider NameRebekah K Mize
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497032577
PECOS PAC ID: 0547435463
Enrollment ID: I20160523000709
Provider NameAbby R Rudolph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235581802
PECOS PAC ID: 8921391780
Enrollment ID: I20160801002193
Provider NameDustin K Hoover
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013304393
PECOS PAC ID: 3476869918
Enrollment ID: I20170124002138
Provider NameTori Abernathy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982147765
PECOS PAC ID: 7618250291
Enrollment ID: I20170918002872
Provider NameMelisa Renae Deloach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790262228
PECOS PAC ID: 2365780103
Enrollment ID: I20190220002449
Provider NameLauren Harrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770069411
PECOS PAC ID: 7810221520
Enrollment ID: I20190701001264
Provider NameAndrew S White
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063892529
PECOS PAC ID: 4385950468
Enrollment ID: I20190828000354
Provider NameEmory Klindworth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700403946
PECOS PAC ID: 0244656957
Enrollment ID: I20200812001006
Provider NameKasilynn Alese Shaddy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144836909
PECOS PAC ID: 2466872031
Enrollment ID: I20201020002442
Provider NameAttrice Richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124885553
PECOS PAC ID: 0143661082
Enrollment ID: I20240509002691

Reviews and Comments


Clinic/Center in Fayetteville, AR


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3162 W Martin Luther King Blvd, Suites 13 & 14, Fayetteville, AR 72704
Phone: 479-935-4834    Fax: 479-751-2878
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

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1806 N Crossover Rd, Suite 4, Fayetteville, AR 72701
Phone: 479-521-5603    Fax: 479-521-5773

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703
Phone: 479-527-9966    Fax: 479-527-9677

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

Primary Care Clinic
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.