| Dr Randal Scott Scholma, MD | |
|
515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 | |
| (479) 717-7626 | |
| (479) 717-7327 |
| Full Name | Dr Randal Scott Scholma |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 21 Years |
| Location | 515 Enterprise Dr, Lowell, Arkansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558574566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E-7514 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pt Concepts Pllc | 1951669852 | 25 |
| Mercy Health Northwest Arkansas Communities | 0648177873 | 314 |
| 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 | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454 |
| Entity Name | PT Concepts PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164931291 PECOS PAC ID: 1951669852 Enrollment ID: O20171226000989 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randal Scott Scholma, MD 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 Ph: (479) 717-7626 | Dr Randal Scott Scholma, MD 515 Enterprise Dr, Suite 300, Lowell, AR 72745-8975 Ph: (479) 717-7626 |
Priyanka Baweja, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr Ste 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 |
Tonya M Balmakund, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-756-4154 |
Crystal L. Deweese, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 515 Enterprise Dr, Lowell, AR 72745 Phone: 479-717-7626 Fax: 471-717-7327 |
Robin Lianne Forward-wise, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7627 |
Dr. Bradley G Goodson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 519 Latham Dr, Lowell, AR 72745 Phone: 479-750-0125 Fax: 479-750-0323 |
Kyle E. Johnson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 515 Enterprise Dr, Suite 300, Lowell, AR 72745 Phone: 479-717-7626 Fax: 479-717-7327 |
Dean B Priest Jr., MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 213 W Monroe Ave Ste Q, Lowell, AR 72745 Phone: 479-320-7100 Fax: 844-886-6851 |