| Bertrand Bezanchong Teh Fonji, MD | |
|
650 United Dr Ste 240, Conway, AR 72032-7004 | |
| (501) 329-1415 | |
| (501) 329-2589 |
| Full Name | Bertrand Bezanchong Teh Fonji |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 21 Years |
| Location | 650 United Dr Ste 240, Conway, 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 |
|---|---|---|---|
| 1073764403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-11895 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center- Conway | Conway, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Health Group | 7911802079 | 579 |
| Entity Name | Howard Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215102702 PECOS PAC ID: 7315851599 Enrollment ID: O20051221000476 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891245221 PECOS PAC ID: 7911802079 Enrollment ID: O20161129000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Bertrand Bezanchong Teh Fonji, MD 11001 Executive Center Dr, Little Rock, AR 72211-4316 Ph: (501) 329-1415 | Bertrand Bezanchong Teh Fonji, MD 650 United Dr Ste 240, Conway, AR 72032-7004 Ph: (501) 329-1415 |
Dr. Joshua Dickinson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave Ste 203, Conway, AR 72034 Phone: 501-327-4828 Fax: 501-327-6899 | |
Thaddeus Michael Stanton, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 203, Conway, AR 72034 Phone: 501-327-4828 Fax: 501-327-6899 | |
Brock K. King, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 203, Conway, AR 72034 Phone: 501-327-4828 Fax: 501-327-6899 | |
Dr. Theodore W Duensing, DO Surgery Medicare: Medicare Enrolled Practice Location: 2210 Robinson Ave, Conway, AR 72034 Phone: 501-932-3500 Fax: 501-932-3520 | |
David E Stearns, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3560 James Ct, Conway, AR 72034 Phone: 501-336-8772 Fax: 501-336-8772 | |
Kenneth Murphy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1840 Royal Dr, Conway, AR 72034 Phone: 501-733-0889 |