<unavail> in Fayetteville, AR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Fayetteville, Arkansas. The current practice location for is 3654 N Investment Dr # 120, Fayetteville, Arkansas. For appointments, you can reach them via phone at (216) 904-6596. The mailing address for is 3654 N Investment Dr # 120, Fayetteville, Arkansas and phone number is (479) 587-8756.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1831957760. 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 (216) 904-6596.

Contact Information


	3654 N Investment Dr # 120 Fayetteville AR 72703-5441
	(216) 904-6596
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	3654 N Investment Dr # 120, Fayetteville, Arkansas
Authorized Official Name and Position	Jessica Couch (OFFICE MANAGER)
Authorized Official Contact	2169046596
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
3654 N Investment Dr # 120 Fayetteville AR 72703-5441 Ph: (479) 587-8756	3654 N Investment Dr # 120 Fayetteville AR 72703-5441 Ph: (216) 904-6596

NPI Details:

NPI Number	1831957760
Provider Enumeration Date	03/06/2024
Last Update Date	07/29/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2062955677
Medicare Enrollment ID	O20240624000669

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831957760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (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 Name	Jason Trygve Stubbs
Provider Type	Practitioner - Plastic And Reconstructive Surgery
Provider Identifiers	NPI Number: 1578768644 PECOS PAC ID: 9739226408 Enrollment ID: I20240624001024

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 Primary Care in Fayetteville, AR