| Fawad H Walajahi, MD | |
|
1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 | |
| (870) 535-7457 | |
| (870) 535-2522 |
| Full Name | Fawad H Walajahi |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 49 Years |
| Location | 1801 W 40th Ave, Pine Bluff, 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 |
|---|---|---|---|
| 1053316067 | NPI | - | NPPES |
| 55444 | Other | AR | BCBS |
| 050019322 | Other | RAILROAD MEDICARE/PGBA | |
| 103071001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R3423 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Howard Memorial Hospital | Nashville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Howard Memorial Hospital | 7315851599 | 9 |
| Entity Name | Howard Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609920370 PECOS PAC ID: 7315851599 Enrollment ID: O20051221000638 |
| Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
| Entity Name | Jefferson Regional Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205301587 PECOS PAC ID: 6204171846 Enrollment ID: O20181231000163 |
| Entity Name | American Hope And Health Clinic Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538781208 PECOS PAC ID: 0547674293 Enrollment ID: O20210121000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Fawad H Walajahi, MD Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457 | Fawad H Walajahi, MD 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603-6957 Ph: (870) 535-7457 |
Ferdinand K Samuel, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Charles J Stearns, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jeffrey S Bryles, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 |