| Dr Mark S Lee, MD | |
|
1 Mercy Way, Bella Vista, AR 72714-3000 | |
| (479) 802-5555 | |
| (479) 876-2829 |
| Full Name | Dr Mark S Lee |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1 Mercy Way, Bella Vista, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679515522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-5265 (Arkansas) | Primary |
| 207P00000X | Emergency Medicine | E5265 (Arkansas) | Secondary |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark S Lee, MD 1 Mercy Way, Bella Vista, AR 72714-3000 Ph: (479) 802-5555 | Dr Mark S Lee, MD 1 Mercy Way, Bella Vista, AR 72714-3000 Ph: (479) 802-5555 |
Dr. Carroll Eugene Holsted, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3 Woodbridge Dr, Bella Vista, AR 72714 Phone: 479-855-2160 Fax: 479-876-6312 | |
Dr. Hayden Elliott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5555 | |
Douglas C Holman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3493 Bella Vista Way, Bella Vista, AR 72714 Phone: 479-265-3712 Fax: 479-265-3713 | |
Dr. Michal Maranto Phillips, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5555 Fax: 479-876-2829 | |
Haley Elizabeth Vo, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24 Sugar Creek Ctr, Bella Vista, AR 72714 Phone: 479-876-1414 Fax: 479-855-4540 |