| Dr Adebayo Ayodeji Fasanya, MD | |
|
4300 Grand Ave, Fort Smith, AR 72904-7028 | |
| (479) 208-4601 | |
| (479) 401-2643 |
| Full Name | Dr Adebayo Ayodeji Fasanya |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 11 Years |
| Location | 4300 Grand Ave, Fort Smith, 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 |
|---|---|---|---|
| 1508111212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | E-10794 (Arkansas) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | E-10794 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| St Marys Regional Medical Center | Russellville, AR | Hospital |
| Sequoyah County-city Of Sallisaw Hospital Authorit | Sallisaw, OK | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Lung Center Pllc | 2769838812 | 3 |
| Arkansas Lung Center Pllc | 2769838812 | 3 |
| Entity Name | Arkansas Lung Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447036108 PECOS PAC ID: 2769838812 Enrollment ID: O20240228000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adebayo Ayodeji Fasanya, MD 4300 Grand Ave, Fort Smith, AR 72904-7028 Ph: (479) 208-4601 | Dr Adebayo Ayodeji Fasanya, MD 4300 Grand Ave, Fort Smith, AR 72904-7028 Ph: (479) 208-4601 |
Dr. David A Hebert, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000 | |
Christopher Brian Cross, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Fiorella Nawar, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 Towson Ave, Fort Smith, AR 72901 Phone: 479-709-7402 | |
Charles Moussallem, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave, Suite 280, Fort Smith, AR 72901 Phone: 479-709-7480 Fax: 479-709-7479 | |
Ongkarn Sarasombath, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-2000 Fax: 479-274-2194 | |
Dr. Jacob K Joseph, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-274-3200 Fax: 479-274-3289 | |
Dr. Paul K Howell Jr., MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6801 Rogers Ave, Fort Smith, AR 72903 Phone: 479-452-2077 |