Dr Mark Edgar Miller, MD | |
2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 | |
(479) 527-9966 | |
(479) 527-9677 |
Full Name | Dr Mark Edgar Miller |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 2630 E Citizens Dr, Fayetteville, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184676041 | NPI | - | NPPES |
129335001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C-8455 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arkansas Hospice Russellville | Russellville, AR | Hospice |
Hospice Of North Arkansas | Springdale, AR | Hospice |
Circle Of Life Hospice | Springdale, AR | Hospice |
Washington Regional Med Ctr Ho | Fayetteville, AR | Hospice |
Washington Regional Medical Center | Fayetteville, AR | Hospital |
Fayetteville Health And Rehabilitation Center | Fayetteville, AR | Nursing home |
North Hills Life Care And Rehab | Fayetteville, AR | Nursing home |
Springdale Health And Rehabilitation Center | Springdale, AR | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Community Clinics Pa | 2567361165 | 21 |
Entity Name | Integrated Community Clinics Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760440226 PECOS PAC ID: 2567361165 Enrollment ID: O20040102000477 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Edgar Miller, MD 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 Ph: (479) 527-9966 | Dr Mark Edgar Miller, MD 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 Ph: (479) 527-9966 |
Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469 | |
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057 | |
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793 | |
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933 | |
Stanley Bradley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120 | |
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 |