| Dr Suman S Rao, MD | |
|
4100 Sw I St Ste 100, Bentonville, AR 72713-0200 | |
| (479) 636-9234 | |
| Not Available |
| Full Name | Dr Suman S Rao |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 4100 Sw I St Ste 100, Bentonville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821135070 | NPI | - | NPPES |
| 205808900 | Medicaid | MO | |
| 10854558 | Other | CAQH PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2002007691 (Missouri) | Secondary |
| 208000000X | Pediatrics | E-15451 (Arkansas) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suman S Rao, MD 4100 Sw I St Ste 100, Bentonville, AR 72713-0200 Ph: (479) 636-9234 | Dr Suman S Rao, MD 4100 Sw I St Ste 100, Bentonville, AR 72713-0200 Ph: (479) 636-9234 |
Dr. Jeffrey Allen Savage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1502 Se 28th Street, Suite 2, Bentonville, AR 72712 Phone: 479-282-2966 | |
Dr. James Gavin Scherer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Shanica Nembhard, Pediatrics Medicare: Medicare Enrolled Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Dr. Shannon Arleese Jewell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Dr. Susan Sullivan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-636-9234 Fax: 479-636-0774 | |
Dr. Jason B. Foster, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2719 Se I St, Bentonville, AR 72712 Phone: 479-273-5437 Fax: 479-273-9932 | |
Yancy Craft, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2719 Se I St, Bentonville, AR 72712 Phone: 479-273-5437 Fax: 479-273-9932 |