| Dr David A Churchill, | |
|
3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 | |
| (479) 571-4338 | |
| (479) 571-4015 |
| Full Name | Dr David A Churchill |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 40 Years |
| Location | 3211 N Northhills Blvd, Fayetteville, 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 |
|---|---|---|---|
| 1023072808 | NPI | - | NPPES |
| 1670494 | Other | AR | UNITED HEALTHCARE |
| 122050000 | Other | AR | QUALCHOICE |
| 111127001 | Medicaid | AR | |
| 4567131 | Other | AR | AETNA |
| C6809 | Other | AR | STATE LICENSE |
| 100077630A | Medicaid | OK | |
| 204813000 | Medicaid | MO | |
| A023 | Other | AR | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | C6809 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Mercy Hospital Berryville | Berryville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington Regional Medical System | 8820995434 | 227 |
| Entity Name | Washington Regional Medical System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679890966 PECOS PAC ID: 8820995434 Enrollment ID: O20100812000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Churchill, 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 Ph: (479) 571-4338 | Dr David A Churchill, 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703-4007 Ph: (479) 571-4338 |
Lauren Cantwell Paulk, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1706 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-966-9370 | |
David R Crittenden, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1408 E Elmwood Dr, Fayetteville, AR 72703 Phone: 479-442-0759 | |
Kim R Agee, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310 | |
Dr. Marlan Levan Rhame Iii, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5929 | |
Waqar M Mehal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 E Appleby, Suite 101, Fayetteville, AR 72703 Phone: 479-463-4444 Fax: 479-463-4499 | |
Dr. Jason Glenn Daily, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329 |