Andrea Fa, is a medicare enrolled "Colon & Rectal Surgery" physician in Little Rock, Arkansas. Her current practice location is
9500 Kanis Rd Ste 501, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 227-9080.
Andrea Fa is licensed to practice in Arkansas (license number E-20990) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558822189.
Physician's Profile
| Full Name | Andrea Fa |
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| Gender | Female |
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| Speciality | Colon & Rectal Surgery |
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| Location | 9500 Kanis Rd Ste 501, Little Rock, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558822189
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 08/18/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789910944
- Enrollment ID: I20190725000878
Medical Identifiers
Medical identifiers for Andrea Fa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558822189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | E-20990 (Arkansas) | Secondary |
| 208C00000X | Colon & Rectal Surgery | E-20990 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Fa is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Andrea Fa, 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 227-9080 | Andrea Fa, 9500 Kanis Rd Ste 501, Little Rock, AR 72205-6389 Ph: (501) 227-9080 |
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