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

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Washington Regional Senior Clinic is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Fayetteville, Arkansas. The current practice location for Washington Regional Senior Clinic is 12 E Appleby Rd, Washington Regional Senior Clinic, Fayetteville, Arkansas. For appointments, you can reach them via phone at (479) 463-4444. The mailing address for Washington Regional Senior Clinic is 12 E Appleby Rd, Clinic Administration, Fayetteville, Arkansas and phone number is (479) 463-1704.

Washington Regional Senior Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699731208. 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) 463-4444.

Contact Information

Washington Regional Senior Clinic
12 E Appleby Rd
Washington Regional Senior Clinic
Fayetteville
AR 72703-3901
(479) 463-4444
(479) 463-4499

Map and Direction


Primary Care Clinic Profile

Full NameWashington Regional Senior Clinic
SpecialityClinic/Center
Location12 E Appleby Rd, Fayetteville, Arkansas
Authorized Official Name and PositionDaniel R Eckels (SENIOR VICE PRESIDENT/CFO)
Authorized Official Contact4794636026
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Washington Regional Senior Clinic
12 E Appleby Rd
Clinic Administration
Fayetteville
AR 72703-3901

Ph: (479) 463-1704		Washington Regional Senior Clinic
12 E Appleby Rd
Washington Regional Senior Clinic
Fayetteville
AR 72703-3901

Ph: (479) 463-4444

NPI Details:

NPI Number1699731208
Provider Enumeration Date04/22/2006
Last Update Date11/16/2009

Medicare PECOS Information:

Medicare PECOS PAC ID8820995434
Medicare Enrollment IDO20050912001236

Medical Identifiers

Medical identifiers for Washington Regional Senior Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699731208NPI-NPPES
158990002MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (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 Senior Clinic acts as a billing entity for following providers:
Provider NameKim R Sheets
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710943659
PECOS PAC ID: 3274420518
Enrollment ID: I20040302000673
Provider NameWaqar M Mehal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043255128
PECOS PAC ID: 2264414432
Enrollment ID: I20040602000592
Provider NameKristin M Bosc
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1740246784
PECOS PAC ID: 2062479702
Enrollment ID: I20041215000026
Provider NameStephen B Gemmell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1508816422
PECOS PAC ID: 1355395138
Enrollment ID: I20050303001023
Provider NameRandy Shinn
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1538119458
PECOS PAC ID: 4385698166
Enrollment ID: I20050303001063
Provider NameMary T Shinn
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1912957820
PECOS PAC ID: 3476594383
Enrollment ID: I20050519001142
Provider NameHeather L Terry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659448868
PECOS PAC ID: 6507885449
Enrollment ID: I20051121000276
Provider NameAntoinette L Hartman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215972252
PECOS PAC ID: 5799788287
Enrollment ID: I20060823000402
Provider NameAlan L Diamond
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1831149020
PECOS PAC ID: 9032142674
Enrollment ID: I20060905000318
Provider NameArlene U Nepomuceno
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1598765208
PECOS PAC ID: 5395723886
Enrollment ID: I20070216000229
Provider NameTruman S Shaddox
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1649236951
PECOS PAC ID: 0749211084
Enrollment ID: I20070529000037
Provider NameMargaret Fairchild Tremwel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1063409993
PECOS PAC ID: 2264327261
Enrollment ID: I20081104000692
Provider NameCharles Tevebaugh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316959216
PECOS PAC ID: 1557423738
Enrollment ID: I20081222000655
Provider NameEmily J Coombs
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1073745873
PECOS PAC ID: 8123165008
Enrollment ID: I20110712000121
Provider NameWalker D Dyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043629900
PECOS PAC ID: 0749402014
Enrollment ID: I20141121000657
Provider NameTiffany M Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114385374
PECOS PAC ID: 7719283159
Enrollment ID: I20160310000328
Provider NameSarah A Highfill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922777051
PECOS PAC ID: 7315335718
Enrollment ID: I20211103001534
Provider NameChelsea R Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457114274
PECOS PAC ID: 9335586585
Enrollment ID: I20240322002759

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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.