| Dr Neil A Tracy, MD | |
|
3215 N. North Hill Road, Fayetteville, AR 72703-4424 | |
| (479) 463-7102 | |
| (479) 463-7864 |
| Full Name | Dr Neil A Tracy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3215 N. North Hill Road, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053553495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E-7197 (Arkansas) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Washington Regional Medical System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306801485 PECOS PAC ID: 8820995434 Enrollment ID: O20051208000082 |
| Entity Name | White County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Neil A Tracy, MD Po Box 550, Lowell, AR 72745-0550 Ph: (479) 463-6004 | Dr Neil A Tracy, MD 3215 N. North Hill Road, Fayetteville, AR 72703-4424 Ph: (479) 463-7102 |
Laureen J. Benafield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Virginia Lee Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Sean M. Livingston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Charles S. Ball, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 | |
Matthew G Cheadle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3215 N North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000 | |
Orrin J Davis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379 |