| Dr Roger Lew Hiatt Jr, MD | |
|
600 N 7th St, West Memphis, AR 72301-3235 | |
| (870) 394-7100 | |
| (870) 394-7111 |
| Full Name | Dr Roger Lew Hiatt Jr |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 600 N 7th St, West Memphis, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417082710 | NPI | - | NPPES |
| 130272001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | N-8381 (Arkansas) | Primary |
| Entity Name | Centers For Youth And Families Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174617526 PECOS PAC ID: 4486996279 Enrollment ID: O20190426000876 |
| Entity Name | Woodridge Of West Memphis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134521685 PECOS PAC ID: 3072830736 Enrollment ID: O20200930000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger Lew Hiatt Jr, MD 10047 Bushrod Cv, Collierville, TN 38017-9188 Ph: (801) 200-5050 | Dr Roger Lew Hiatt Jr, MD 600 N 7th St, West Memphis, AR 72301-3235 Ph: (870) 394-7100 |
Dr. Donald Lee Mcdonald, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 309 N 5th St, West Memphis, AR 72301 Phone: 870-732-6600 Fax: 870-732-6621 | |
Bernice Chapple-taylor, NURSE PRACTITIONER Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 Avondale Cir, West Memphis, AR 72301 Phone: 870-733-9950 |