| Dr Kevin Drake Branch, MD | |
|
390 E Longview St, Fayetteville, AR 72703-4618 | |
| (479) 442-0144 | |
| (479) 442-4557 |
| Full Name | Dr Kevin Drake Branch |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 20 Years |
| Location | 390 E Longview St, 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 |
|---|---|---|---|
| 1417034984 | NPI | - | NPPES |
| E7537 | Other | AR | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | E7537 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Cherokee Nation W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Arkansas Pathology Associates Pa | 8729013495 | 13 |
| Cherokee Nation | 5799698742 | 369 |
| Entity Name | Northwest Arkansas Pathology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306819263 PECOS PAC ID: 8729013495 Enrollment ID: O20051011000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Drake Branch, MD 390 E Longview St, Fayetteville, AR 72703-4618 Ph: (479) 442-0144 | Dr Kevin Drake Branch, MD 390 E Longview St, Fayetteville, AR 72703-4618 Ph: (479) 442-0144 |
Dr. Paul R Hendrycy, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 390 E Longview St, Fayetteville, AR 72703 Phone: 479-442-0144 Fax: 479-442-4557 | |
Dr. Bradley Dilday, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 390 E Longview St, Fayetteville, AR 72703 Phone: 479-442-0144 Fax: 479-442-4557 | |
Jamie M Boone, D.O. Pathology Medicare: Accepting Medicare Assignments Practice Location: 390 E Longview St, Fayetteville, AR 72703 Phone: 479-442-0144 Fax: 479-442-4557 | |
Gregory Mckenzie, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 390 E Longview St, Fayetteville, AR 72703 Phone: 479-442-0144 | |
Dr. Thomas J Simmons, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 390 E Longview St, Fayetteville, AR 72703 Phone: 479-442-0144 Fax: 479-442-4557 | |
Dr. Saran Kraichoke, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 390 E Longview St, Fayetteville, AR 72703 Phone: 479-442-0144 Fax: 479-442-4557 | |
Alexis Seguin Calderon, MD Pathology Medicare: Medicare Enrolled Practice Location: 390 E Longview St, Fayetteville, AR 72703 Phone: 479-442-0144 |