| Cyril E Severns, MD | |
|
7900 Dallas St, Fort Smith, AR 72903-5690 | |
| (479) 242-6647 | |
| (479) 250-0505 |
| Full Name | Cyril E Severns |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 7900 Dallas St, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013904176 | NPI | - | NPPES |
| 139030001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | E2217 (Arkansas) | Primary |
| Entity Name | Advanced Dermatology & Skin Cancer Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245426162 PECOS PAC ID: 2961588900 Enrollment ID: O20080401000019 |
| Entity Name | The Dermatology Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376780098 PECOS PAC ID: 5799842845 Enrollment ID: O20090318000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Cyril E Severns, MD 7900 Dallas St, Fort Smith, AR 72903-5690 Ph: (479) 242-6647 | Cyril E Severns, MD 7900 Dallas St, Fort Smith, AR 72903-5690 Ph: (479) 242-6647 |
Chelsea Jones Meltzer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Sara Kurian Lamb, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Katie Clark Wadlington, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Dr. George Luke Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7900 Dallas Street, Fort Smith, AR 72903 Phone: 479-242-6647 Fax: 479-250-0505 | |
Dr. Sandra Marchese Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-420-1221 Fax: 479-646-0133 | |
Dr. Brad Russell Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916 Phone: 479-649-3376 Fax: 479-646-0133 |