| Dr Amanda Wilcox, MD | |
|
719 Detroit Ave, Danville, AR 72833-9607 | |
| (479) 495-2241 | |
| Not Available |
| Full Name | Dr Amanda Wilcox |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 719 Detroit Ave, Danville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669763868 | NPI | - | NPPES |
| 166454 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31059 (Alabama) | Primary |
| 207Q00000X | Family Medicine | E20073 (Arkansas) | Secondary |
| Entity Name | Health Care Authority For Baptist Health, An Affiliate Of Uabhs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538 |
| Entity Name | Remnant Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164891248 PECOS PAC ID: 1355644535 Enrollment ID: O20160121001526 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda Wilcox, MD 719 Detroit Ave, Danville, AR 72833-9607 Ph: (479) 495-2241 | Dr Amanda Wilcox, MD 719 Detroit Ave, Danville, AR 72833-9607 Ph: (479) 495-2241 |
William A Isely, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 719 Detroit Ave, Danville, AR 72833 Phone: 479-495-6270 Fax: 479-495-6290 | |
Philip Brian Tippin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Dan Ark Circle, Danville, AR 72833 Phone: 479-495-7300 | |
Michelle Jean Banning, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 804 Dan Ark Circle, Danville, AR 72833 Phone: 479-495-7300 Fax: 479-495-7891 |