- Medicare Primary Care in Fayetteville, AR

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is a medicare enrolled primary clinic (Family Medicine) in Fayetteville, Arkansas. The current practice location for is 2630 E Citizens Dr, Suite #13, Fayetteville, Arkansas. For appointments, you can reach them via phone at (479) 571-6000. The mailing address for is Po Box 3678, Fayetteville, Arkansas and phone number is (479) 571-6000.

is licensed to practice in Arkansas (license number C-7247). The clinic also participates in the medicare program and its NPI number is 1982009395. 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) 571-6000.

Contact Information

2630 E Citizens Dr
Suite #13
Fayetteville
AR 72703-4797
(479) 571-6000
(479) 571-3344

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location2630 E Citizens Dr, Fayetteville, Arkansas
Authorized Official Name and PositionMark Andrew Bonner (PROVIDER)
Authorized Official Contact4795716000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 3678
Fayetteville
AR 72702-3678

Ph: (479) 571-6000
2630 E Citizens Dr
Suite #13
Fayetteville
AR 72703-4797

Ph: (479) 571-6000

NPI Details:

NPI Number1982009395
Provider Enumeration Date10/28/2014
Last Update Date10/24/2016

Medicare PECOS Information:

Medicare PECOS PAC ID4587987540
Medicare Enrollment IDO20141223001222

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982009395NPI-NPPES
113998001MedicaidAR
51916OtherARUNSPECIFIED
P00200111OtherARRR MCR
51916OtherARAR BC/BS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine C-7247 (Arkansas)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 NameMark A Bonner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437188869
PECOS PAC ID: 6103885793
Enrollment ID: I20051122000300
Provider NameKelly J Hardin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225206436
PECOS PAC ID: 9032289731
Enrollment ID: I20080606000749
Provider NameRyan A Hueter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194967414
PECOS PAC ID: 1557510427
Enrollment ID: I20121009000670
Provider NameDebra G Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316998156
PECOS PAC ID: 2567597149
Enrollment ID: I20161219002562
Provider NameJames Braxton Yeager
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922630367
PECOS PAC ID: 5496183139
Enrollment ID: I20200312000399
Provider NameGinger Spiller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053998518
PECOS PAC ID: 4284043860
Enrollment ID: I20210512000031
Provider NameShelly Lowry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669086898
PECOS PAC ID: 3678964970
Enrollment ID: I20211221001859
Provider NameDiane H Morrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013636695
PECOS PAC ID: 7214313915
Enrollment ID: I20221004001438
Provider NameTrent A Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598420911
PECOS PAC ID: 8628466125
Enrollment ID: I20221205003376

Reviews and Comments


Family Medicine in Fayetteville, AR


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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
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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.