| Resolute Healthcare | |
|
2907 E Joyce Blvd Ste 5 Fayetteville AR 72703-5390 | |
| (479) 212-8492 | |
| (479) 265-3890 |
| Full Name | Resolute Healthcare |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2907 E Joyce Blvd Ste 5, Fayetteville, Arkansas |
| Authorized Official Name and Position | Laura T Bailey (NURSE PRACTITIONER) |
| Authorized Official Contact | 4797510190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resolute Healthcare 2907 E Joyce Blvd Ste 5 Fayetteville AR 72703-5390 Ph: (479) 212-8492 | Resolute Healthcare 2907 E Joyce Blvd Ste 5 Fayetteville AR 72703-5390 Ph: (479) 212-8492 |
| NPI Number | 1720691678 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 09/06/2023 |
| Medicare PECOS PAC ID | 4880008259 |
|---|---|
| Medicare Enrollment ID | O20210126000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720691678 | NPI | - | NPPES |
| 1891115663 | Other | AR | NPI |
| 195361001 | Medicaid | AR | |
| 203336758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Laura Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891115663 PECOS PAC ID: 7113147406 Enrollment ID: I20141009000216 |
| Provider Name | Leah M Carrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453030 PECOS PAC ID: 2062712631 Enrollment ID: I20151203002431 |
| Provider Name | Brent T Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184072258 PECOS PAC ID: 3779531678 Enrollment ID: I20160825000392 |
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Bryan Abernathy Md Pa Dba Abernathy Clinic 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 | |
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Washington County Hiv Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3270 N. Wimberly Drive, Fayetteville, AR 72703 Phone: 479-973-8450 Fax: 479-973-8452 | |
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