- Medicare Primary Care in Fayetteville, AR

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is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Fayetteville, Arkansas. The current practice location for is 525 N Garland Ave, Fayetteville, Arkansas. For appointments, you can reach them via phone at (479) 575-6479. The mailing address for is 525 N Garland Ave, 1 University Of Arkansas, Fayetteville, Arkansas and phone number is (479) 575-6479.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619908787. 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) 575-6479.

Contact Information

525 N Garland Ave
Fayetteville
AR 72701-3110
(479) 575-6479
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location525 N Garland Ave, Fayetteville, Arkansas
Authorized Official Name and PositionAnjanette Olsen (DIRECTOR OF MEDICAL SERVICES)
Authorized Official Contact4795754476
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

525 N Garland Ave
1 University Of Arkansas
Fayetteville
AR 72701-3110

Ph: (479) 575-6479
525 N Garland Ave
Fayetteville
AR 72701-3110

Ph: (479) 575-6479

NPI Details:

NPI Number1619908787
Provider Enumeration Date07/06/2006
Last Update Date03/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1951391630
Medicare Enrollment IDO20120309000551

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619908787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
261QS1000XClinic/center - Student Health (* (Not Available))Secondary

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 Beck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104872969
PECOS PAC ID: 5799788105
Enrollment ID: I20060824000031
Provider NameSusan Md Raben-taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780613489
PECOS PAC ID: 1658373329
Enrollment ID: I20070208000464
Provider NameRobert R Pang
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1437251642
PECOS PAC ID: 8325144017
Enrollment ID: I20070425000592
Provider NameHuda Sharaf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912043043
PECOS PAC ID: 3779652714
Enrollment ID: I20080516000678
Provider NameCarlos A Acosta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689879777
PECOS PAC ID: 6406914720
Enrollment ID: I20100830000591
Provider NameDeborah Deere
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538331962
PECOS PAC ID: 1456520311
Enrollment ID: I20110810000041
Provider NameRamon C Ylanan
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497841530
PECOS PAC ID: 7214029206
Enrollment ID: I20120221000939
Provider NameTina Goodson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1467650358
PECOS PAC ID: 4789803669
Enrollment ID: I20140909001149
Provider NameLarry Balle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508283995
PECOS PAC ID: 1456634542
Enrollment ID: I20180613001850
Provider NameHannah Rae Lamm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912548058
PECOS PAC ID: 5698007615
Enrollment ID: I20191024001246
Provider NameLauren K Poindexter
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1982082038
PECOS PAC ID: 4587956719
Enrollment ID: I20210910002719
Provider NameAbigail Elizabeth Deangelis
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1740852110
PECOS PAC ID: 3678978988
Enrollment ID: I20230427001285

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.