- Medicare Primary Care in Fayetteville, AR

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

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

3053 N College Avenue
Fayetteville
AR 72703
(479) 463-2000
(479) 442-4518

Map and Direction


Primary Care Clinic Profile

Full Name
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

Po Box 879
Fayetteville
AR 72702-0879

Ph: (479) 713-7115
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 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. 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 NameRhonald Searcy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518173483
PECOS PAC ID: 7315021219
Enrollment ID: I20080303000283
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 NameGilbert-roy B Kamoga
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467665984
PECOS PAC ID: 2860546033
Enrollment ID: I20170327001581
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


Family Medicine 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.