| Ashley Danielle Gross, | |
|
3922 E Main St, Blytheville, AR 72315-6813 | |
| (870) 228-9780 | |
| Not Available |
| Full Name | Ashley Danielle Gross |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 3922 E Main St, Blytheville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881269660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 215079 (Arkansas) | Primary |
| Entity Name | Southern Pain And Regenerative Medicine Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841799707 PECOS PAC ID: 2769733377 Enrollment ID: O20221011001530 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Danielle Gross, 2017 Linden Ct Apt B, Gosnell, AR 72315-5803 Ph: () - | Ashley Danielle Gross, 3922 E Main St, Blytheville, AR 72315-6813 Ph: (870) 228-9780 |
Valencia Marie Andrews-pirtle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 605 N 2nd St, Blytheville, AR 72315 Phone: 870-532-6001 Fax: 870-532-6008 | |
Ronald D Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 | |
Dr. David Arthur Diffine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Medical Dr, Suite C, Blytheville, AR 72315 Phone: 870-824-2809 Fax: 870-762-0731 | |
Chimere A Ashley Hammett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1522 N Division St, Blytheville, AR 72315 Phone: 870-838-7530 Fax: 870-838-7539 |