| Dr Betty Louise Fugett-orange, DO | |
|
1000 W Kingshighway Ste 4, Paragould, AR 72450 | |
| (870) 239-8307 | |
| (870) 239-8301 |
| Full Name | Dr Betty Louise Fugett-orange |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1000 W Kingshighway Ste 4, Paragould, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437115201 | NPI | - | NPPES |
| 200367760 | Other | AR | TRICARE |
| 127460003 | Medicaid | AR | |
| 04080021200 | Other | AR | QUAL CHOICE |
| 152158004 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | R6P34 (Missouri) | Secondary |
| 207V00000X | Obstetrics & Gynecology | E0444 (Arkansas) | Primary |
| Entity Name | Forrest City Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821293051 PECOS PAC ID: 1557457447 Enrollment ID: O20071024000213 |
| Entity Name | Ammc Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477836302 PECOS PAC ID: 6002962347 Enrollment ID: O20111026000901 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Betty Louise Fugett-orange, DO Po Box 1466, Paragould, AR 72451-1466 Ph: (870) 239-8307 | Dr Betty Louise Fugett-orange, DO 1000 W Kingshighway Ste 4, Paragould, AR 72450 Ph: (870) 239-8307 |
Dr. Rose L Glynne, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1110 W Kingshighway, Paragould, AR 72450 Phone: 870-205-2000 Fax: 870-205-2001 | |
Jodi Anne Turano, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1110 W Kingshighway, Paragould, AR 72450 Phone: 870-205-2002 Fax: 870-205-2044 | |
Mark C. Ballard, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Ammc Women's Clinic, 1110 W. Kingshighway, Paragould, AR 72450 Phone: 870-205-2000 Fax: 870-205-2001 |