| Dr Braedon J Collins, MD | |
|
5401 Willow Creek Dr, Springdale, AR 72762-8703 | |
| (479) 521-8980 | |
| (479) 521-1088 |
| Full Name | Dr Braedon J Collins |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 10 Years |
| Location | 5401 Willow Creek Dr, Springdale, 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 |
|---|---|---|---|
| 1356725055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | TEP7552 (Nebraska) | Secondary |
| 208800000X | Urology | E13359 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Integris Grove Hospital | Grove, OK | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Arkansas Urology Associates, Pllc | 9739311499 | 4 |
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
| Entity Name | Northwest Arkansas Urology Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720418213 PECOS PAC ID: 9739311499 Enrollment ID: O20140410002014 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Braedon J Collins, MD 5401 Willow Creek Dr, Springdale, AR 72762-8703 Ph: (479) 521-8980 | Dr Braedon J Collins, MD 5401 Willow Creek Dr, Springdale, AR 72762-8703 Ph: (479) 521-8980 |
Dr. Mark William Pickhardt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3901 Parkway Cir, Springdale, AR 72762 Phone: 479-587-1700 Fax: 479-587-1366 | |
Chad E Brekelbaum, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5401 Willow Creek Dr, Springdale, AR 72762 Phone: 479-521-8980 Fax: 479-521-1088 |