Thomas W Atkinson Md Pa | |
1670 East Joyce Blvd Suite 2 Fayetteville AR 72703-0030 | |
(479) 582-5905 | |
(479) 582-5908 |
Full Name | Thomas W Atkinson Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 1670 East Joyce Blvd Suite 2, Fayetteville, Arkansas |
Authorized Official Name and Position | Thomas W Atkinson (OWNER) |
Authorized Official Contact | 4795825905 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas W Atkinson Md Pa Po Box 9690 Fayetteville AR 72703-0030 Ph: (479) 582-5905 | Thomas W Atkinson Md Pa 1670 East Joyce Blvd Suite 2 Fayetteville AR 72703-0030 Ph: (479) 582-5905 |
NPI Number | 1265066955 |
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Provider Enumeration Date | 03/03/2020 |
Last Update Date | 03/03/2020 |
Medicare PECOS PAC ID | 8628405651 |
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Medicare Enrollment ID | O20200303001818 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265066955 | NPI | - | NPPES |
110911001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Thomas W Atkinson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861438665 PECOS PAC ID: 4880642719 Enrollment ID: I20050107000324 |
Community Clinic Fayetteville Medical 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 | |
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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