Dr Susan L Raben-taylor, MD | |
525 N Garland Ave, Fayetteville, AR 72701-3110 | |
(479) 582-1755 | |
Not Available |
Full Name | Dr Susan L Raben-taylor |
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Gender | Female |
Speciality | Family Medicine |
Location | 525 N Garland Ave, Fayetteville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780613489 | NPI | - | NPPES |
12990 | Other | AR | QUALCHOICE INSURANCE ID# |
Entity Name | University Of Arkansas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619908787 PECOS PAC ID: 1951391630 Enrollment ID: O20120309000551 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan L Raben-taylor, MD 525 N Garland Ave, Fayetteville, AR 72701-3110 Ph: (870) 424-5079 | Dr Susan L Raben-taylor, MD 525 N Garland Ave, Fayetteville, AR 72701-3110 Ph: (479) 582-1755 |
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 |