| Donald Tribbey, DO | |
|
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
| (479) 787-5291 | |
| (479) 344-6404 |
| Full Name | Donald Tribbey |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1101 Jackson St Sw, Gravette, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821036336 | NPI | - | NPPES |
| 1821036336 | Medicaid | MO | |
| P00894368 | Other | AR | RR CARE |
| 166142003 | Medicaid | AR | |
| 100157740A | Medicaid | OK |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Tribbey, DO 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 | Donald Tribbey, DO 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 |
Kenneth C. Stewart, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 | |
Glen F Mcspadden, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 | |
Steven L. Williams, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6410 |