| Charles D Davidson, MD | |
|
1210 W Main St, Walnut Ridge, AR 72476-1005 | |
| (870) 886-3543 | |
| (870) 886-3252 |
| Full Name | Charles D Davidson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 1210 W Main St, Walnut Ridge, 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 |
|---|---|---|---|
| 1457425902 | NPI | - | NPPES |
| 55949 | Other | AR | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N8263 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence Memorial Hospital | Walnut ridge, AR | Hospital |
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lawrence County Family Clinic, Pa | 1557347572 | 5 |
| Entity Name | Lawrence County Family Clinic, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942337282 PECOS PAC ID: 1557347572 Enrollment ID: O20040629000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles D Davidson, MD Po Box 719, Walnut Ridge, AR 72476-0719 Ph: (870) 886-3543 | Charles D Davidson, MD 1210 W Main St, Walnut Ridge, AR 72476-1005 Ph: (870) 886-3543 |
Cassandra Lou Hunter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-972-0063 Fax: 870-886-3252 | |
Kevin M Diamond, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 | |
Vickey Lynne Snow, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 | |
Shawn C Peyton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 | |
Elizabeth Fike, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-1200 Fax: 870-886-5340 | |
Clay R Spencer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 | |
Teddy S Lancaster, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 |