| William J Fretwell, LAC | |
|
10301 Mayo Dr, Barling, AR 72923-1660 | |
| (479) 494-5700 | |
| (479) 484-8142 |
| Full Name | William J Fretwell |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 10301 Mayo Dr, Barling, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114246808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Bmsc Az Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497201875 PECOS PAC ID: 4385929173 Enrollment ID: O20191122001690 |
| Mailing Address | Practice Location Address |
|---|---|
| William J Fretwell, LAC 3352 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 521-1427 | William J Fretwell, LAC 10301 Mayo Dr, Barling, AR 72923-1660 Ph: (479) 494-5700 |
Kayla Montgomery, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 Fax: 479-452-5040 | |
Otilia Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Linda Howard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort St, Barling, AR 72923 Phone: 479-452-5040 | |
Peter Duncan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Joe Pelt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort Street, Barling, AR 72923 Phone: 479-452-5040 | |
Mrs. Robin Michelle Williford, LPC Counselor Medicare: Medicare Enrolled Practice Location: 815 Fort St, Suite A, Barling, AR 72923 Phone: 479-494-5700 |