Rooted Family Care Pllc | |
1708 E Joyce Blvd Ste 2 Fayetteville AR 72703-5250 | |
(479) 222-1144 | |
Not Available |
Full Name | Rooted Family Care Pllc |
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Speciality | Family Medicine |
Location | 1708 E Joyce Blvd Ste 2, Fayetteville, Arkansas |
Authorized Official Name and Position | Bailee Lutz (OWNER) |
Authorized Official Contact | 4792221144 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rooted Family Care Pllc 1708 E Joyce Blvd Ste 2 Fayetteville AR 72703-5250 Ph: (479) 222-1144 | Rooted Family Care Pllc 1708 E Joyce Blvd Ste 2 Fayetteville AR 72703-5250 Ph: (479) 222-1144 |
NPI Number | 1366277295 |
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Provider Enumeration Date | 09/02/2024 |
Last Update Date | 10/28/2024 |
Medicare PECOS PAC ID | 3072046705 |
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Medicare Enrollment ID | O20241101001619 |
Identifier | Type | State | Issuer |
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1366277295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jeffrey Bearden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992768105 PECOS PAC ID: 8426105461 Enrollment ID: I20090409000179 |
Provider Name | Bailee Lutz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598227787 PECOS PAC ID: 0547597551 Enrollment ID: I20220721003768 |
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 | |