| Edward L Andrada, MD | |
|
101 Skyline Dr, Russellville, AR 72801-3363 | |
| (479) 968-2345 | |
| (479) 890-2467 |
| Full Name | Edward L Andrada |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 101 Skyline Dr, Russellville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730145814 | NPI | - | NPPES |
| 152300001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-3825 (Arkansas) | Primary |
| Entity Name | Flagg Emergency Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912464405 PECOS PAC ID: 5698008019 Enrollment ID: O20190617002551 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward L Andrada, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 | Edward L Andrada, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 |
Kenneth B Turner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-968-7607 | |
Mrs. Allison Hope Melton, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 W Main St, Russellville, AR 72801 Phone: 479-219-9913 | |
Lavon Jeneen Wood, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-890-2467 | |
Dr. Douglas H Lowrey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 S Utah Ave, Russellville, AR 72801 Phone: 479-968-2727 | |
Dr. Andrew Mason Monfee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3812 W Main St, Russellville, AR 72801 Phone: 479-968-1245 Fax: 479-968-4137 | |
Ross Lenzen, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-968-7607 | |
James Mark Carter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W C Pl, Russellville, AR 72801 Phone: 479-967-7717 Fax: 866-280-8464 |