| Dr Clarisse Tallah, MD | |
|
201 Sw 14th St, Bentonville, AR 72712-7449 | |
| (479) 785-2229 | |
| (479) 314-3185 |
| Full Name | Dr Clarisse Tallah |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 11 Years |
| Location | 201 Sw 14th St, Bentonville, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609225499 | NPI | - | NPPES |
| 200101118 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2021030592 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | E-19686 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkshire Medical Center | Pittsfield, MA | Hospital |
| Fairview Hospital | Great barrington, MA | Hospital |
| Baystate Medical Center | Springfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Berkshire Medical Center Inc | 1355232711 | 199 |
| Entity Name | Berkshire Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295765261 PECOS PAC ID: 1355232711 Enrollment ID: O20040324000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clarisse Tallah, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (479) 785-2229 | Dr Clarisse Tallah, MD 201 Sw 14th St, Bentonville, AR 72712-7449 Ph: (479) 785-2229 |
Dr. Hunter Moore Steadman Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th Street, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250 | |
Dr. Gregory Ryan Spears, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Sw Regional Airport Blvd, Bentonville, AR 72713 Phone: 479-553-2664 Fax: 479-553-2536 | |
Dr. Jennifer A Schroeder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 Se 28th St Ste 2, Bentonville, AR 72712 Phone: 479-268-4774 | |
Raja Sekhar Reddy Dondeti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Sw Regional Airport Blvd, Suite 1, Bentonville, AR 72716 Phone: 479-268-7640 Fax: 479-254-2951 | |
Dr. Kimberly Joy Emerson, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 903 Se 28th St, Suite 1, Bentonville, AR 72712 Phone: 479-464-8111 Fax: 479-464-4475 | |
Justin Wilhite, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6084 Fax: 479-986-6107 | |
Dr. Ajdahan Deniz Bicak, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Sw 16th St, Bentonville, AR 72712 Phone: 479-273-2228 Fax: 479-273-3338 |