| David Neal Wyatt, DO | |
|
1300 Braden St, Jacksonville, AR 72076-3719 | |
| (501) 985-5900 | |
| (501) 985-6016 |
| Full Name | David Neal Wyatt |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1300 Braden St, Jacksonville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780680538 | NPI | - | NPPES |
| 134554003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1931 (Arkansas) | Primary |
| Entity Name | Arkansas Palliative Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205202728 PECOS PAC ID: 3173825361 Enrollment ID: O20160105001630 |
| Entity Name | Arkansas Advanced Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205568623 PECOS PAC ID: 4587047105 Enrollment ID: O20220815002736 |
| Mailing Address | Practice Location Address |
|---|---|
| David Neal Wyatt, DO Po Box 309, Jacksonville, AR 72078-0309 Ph: (501) 985-5900 | David Neal Wyatt, DO 1300 Braden St, Jacksonville, AR 72076-3719 Ph: (501) 985-5900 |
Miriam Gwenyth Morse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |
Cameron Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6022 |
Sridhar Reddy Madgula, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951 |
Dr. John Daugherty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041 |
Robert Ross Ritchie, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |
Hira Ejaz Shah, M D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 |
Richard Lee Hayes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |