| Dawn Hutter, MD | |
| 
					4010 S Mulberry St, Pine Bluff, AR 71603-7000  | |
| (870) 541-6000 | |
| Not Available | 
| Full Name | Dawn Hutter | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 4010 S Mulberry St, Pine Bluff, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962815456 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | E-9584 (Arkansas) | Secondary | 
| 207Q00000X | Family Medicine | 25MA10217100 (New Jersey) | Primary | 
| Entity Name | Southeast Arkansas Emergency Physicians Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647  | 
| Entity Name | Southeast Arkansas Hospitalists Llp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1912374018 PECOS PAC ID: 9537479605 Enrollment ID: O20151103000750  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dawn Hutter, MD 400 W Front St, Ste 2, Plainfield, NJ 07060-1173 Ph: (870) 541-6000  | Dawn Hutter, MD 4010 S Mulberry St, Pine Bluff, AR 71603-7000 Ph: (870) 541-6000  | 
Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516  | |
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594  | |
Dr. Sree Chellappan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010  | |
Manuel R Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716  | |
Pavana Naga Gopi Krishna Tirumanisetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6009  | |
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622  | |
Margaret Ann Washington, A.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716  |