| Burton Bledsoe, MD | |
|
609 W Maple Ave, Springdale, AR 72764-5335 | |
| (479) 757-5282 | |
| (479) 751-2977 |
| Full Name | Burton Bledsoe |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 609 W Maple Ave, Springdale, 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 |
|---|---|---|---|
| 1992742522 | NPI | - | NPPES |
| 134131001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E1516 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | E-1516 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springdale Bentonville Hbp Services Llc | 1052759263 | 94 |
| Entity Name | Northwest Benton County Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505 |
| Entity Name | Ies Hsp Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943 |
| Entity Name | Springdale Bentonville Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
| Mailing Address | Practice Location Address |
|---|---|
| Burton Bledsoe, MD 601 W Maple Ave, Suite 704, Springdale, AR 72764-5335 Ph: (479) 757-5282 | Burton Bledsoe, MD 609 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 757-5282 |
Emily Lauren Ruppert, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6800 Fax: 479-725-6577 |