| Dustin Laray Walter, MD | |
|
2037 W Main St, Cabot, AR 72023-7479 | |
| (501) 843-4555 | |
| (501) 743-1550 |
| Full Name | Dustin Laray Walter |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2037 W Main St, Cabot, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295295806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E-16655 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | E-16655 (Arkansas) | Primary |
| Entity Name | Arkansas Central Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881848257 PECOS PAC ID: 8729142682 Enrollment ID: O20090122000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Laray Walter, MD 2037 W Main St, Cabot, AR 72023-7479 Ph: (501) 843-4555 | Dustin Laray Walter, MD 2037 W Main St, Cabot, AR 72023-7479 Ph: (501) 843-4555 |
Michael Jerkins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Westport Dr Ste 1, Cabot, AR 72023 Phone: 501-843-6585 Fax: 501-843-2380 | |
Deborah Ann Cerrato, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2037 W Main St, Cabot, AR 72023 Phone: 501-843-4555 Fax: 501-843-7081 | |
Susanne L Lassieur Robertson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2037 West Main, Cabot, AR 72023 Phone: 501-843-4555 Fax: 501-843-7081 | |
Ruth Ann Blair, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2037 West Main, Cabot, AR 72023 Phone: 501-843-4555 Fax: 501-843-7081 |