Edward Wrenn Wooten, MD | |
3344 N Futrall Dr, Fayetteville, AR 72703-4057 | |
(479) 443-5316 | |
Not Available |
Full Name | Edward Wrenn Wooten |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 3344 N Futrall Dr, Fayetteville, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144217373 | NPI | - | NPPES |
149763001 | Medicaid | AR | |
8K6572 | Other | TX | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E3681 (Arkansas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | L4179 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical City Plano | Plano, TX | Hospital |
Medical Center Of Mckinney | Mckinney, TX | Hospital |
Medical City Lewisville | Lewisville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Radiology Associates Llp | 3779578000 | 145 |
Medical Associates Of Northwest Arkansas, Pa | 3678542073 | 98 |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Texas Radiology Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016161 PECOS PAC ID: 3779578000 Enrollment ID: O20040422001470 |
Entity Name | North Star Mri Of Frisco Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
Entity Name | North Star Diagnostic Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20100614000182 |
Entity Name | North Star Mri Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20110524000030 |
Entity Name | North Star Mcd, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063712461 PECOS PAC ID: 2668659434 Enrollment ID: O20110602000702 |
Entity Name | North Star Fm Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
Entity Name | North Star Plano Parkway Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740601863 PECOS PAC ID: 0244456002 Enrollment ID: O20140731000606 |
Entity Name | North Star Cn Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
Entity Name | North Star Fp Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20170816002017 |
Entity Name | North Star Gv Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20180110000546 |
Mailing Address | Practice Location Address |
---|---|
Edward Wrenn Wooten, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038 | Edward Wrenn Wooten, MD 3344 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 443-5316 |
Dr. Fredrik J Balldin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N. North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Jarret Sanders, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-968-7930 Fax: 479-968-4331 | |
Dr. Theodore N. Hronas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310 | |
Dr. Whitney Sipe, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 W Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-442-6266 Fax: 479-521-3877 | |
Dr. Vanessa Hardin Branch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-443-5316 Fax: 479-582-7389 | |
Dr. Christopher M Mcclinton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 E Monte Painter Dr, Fayetteville, AR 72703 Phone: 479-695-4234 |