Washington Regional Family Clinic Fayetteville - Medicare Primary Care in Fayetteville, AR

Washington Regional Family Clinic Fayetteville is a medicare enrolled primary clinic (Family Medicine) in Fayetteville, Arkansas. The current practice location for Washington Regional Family Clinic Fayetteville is 3053 N College Avenue, Fayetteville, Arkansas. For appointments, you can reach them via phone at (479) 463-2000. The mailing address for Washington Regional Family Clinic Fayetteville is Po Box 879, Fayetteville, Arkansas and phone number is (479) 713-7115.

Washington Regional Family Clinic Fayetteville is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114971819. 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) 463-2000.

Contact Information

Washington Regional Family Clinic Fayetteville
3053 N College Avenue
Fayetteville
AR 72703
(479) 463-2000
(479) 442-4518

Map and Direction


Primary Care Clinic Profile

Full NameWashington Regional Family Clinic Fayetteville
SpecialityFamily Medicine
Location3053 N College Avenue, Fayetteville, Arkansas
Authorized Official Name and PositionMary Jo Rothrock (DIRECTOR CLINIC ADMINISTRATION)
Authorized Official Contact4794631390
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Washington Regional Family Clinic Fayetteville
Po Box 879
Fayetteville
AR 72702-0879

Ph: (479) 713-7115
Washington Regional Family Clinic Fayetteville
3053 N College Avenue
Fayetteville
AR 72703

Ph: (479) 463-2000

NPI Details:

NPI Number1114971819
Provider Enumeration Date05/19/2006
Last Update Date03/25/2008

Medicare PECOS Information:

Medicare PECOS PAC ID8820995434
Medicare Enrollment IDO20040210001051

Medical Identifiers

Medical identifiers for Washington Regional Family Clinic Fayetteville such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114971819NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. Washington Regional Family Clinic Fayetteville acts as a billing entity for following providers:
Provider NameJohnny P Adkins
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1164472908
PECOS PAC ID: 6002873957
Enrollment ID: I20041213000837
Provider NameMatthew B Totten
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659326312
PECOS PAC ID: 3678507241
Enrollment ID: I20050922000911
Provider NameDavid Grady Ratcliff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205886090
PECOS PAC ID: 3971520040
Enrollment ID: I20051027000941
Provider NameSteven F Spencer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154371946
PECOS PAC ID: 9739103805
Enrollment ID: I20060117000796
Provider NameFrances Radkey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306801196
PECOS PAC ID: 3072568872
Enrollment ID: I20090827000684
Provider NameStacy C Zimmerman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467488791
PECOS PAC ID: 1759349723
Enrollment ID: I20100810000593
Provider NameTaesha Cn Winford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467877340
PECOS PAC ID: 0042442964
Enrollment ID: I20150108000676
Provider NameKylie Quick Rhodes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477932242
PECOS PAC ID: 2769788785
Enrollment ID: I20180808001997
Provider NameTyler Falls Brockman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407397730
PECOS PAC ID: 7012280183
Enrollment ID: I20200805002478
Provider NameSheena Carllee
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235541012
PECOS PAC ID: 1850518820
Enrollment ID: I20200922003227
Provider NameAnne G Montgomery
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922452689
PECOS PAC ID: 8325373129
Enrollment ID: I20220818003014
Provider NameMyrrh E Hector
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912691544
PECOS PAC ID: 7416301478
Enrollment ID: I20230925001220

Reviews and Comments


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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.