Gideon S Mecum, MD in Fayetteville, AR

Gideon S Mecum, MD is a medicare enrolled "Pediatrics" physician in Fayetteville, Arkansas. His current practice location is 3215 N. North Hill Drive, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 463-7102.

Gideon S Mecum is licensed to practice in Arkansas (license number E-6020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710106042.

Contact Information

	Gideon S Mecum, MD
	3215 N. North Hill Drive, Fayetteville, AR 72703-4424
	(479) 463-7102
	(479) 463-7864

Map and Direction

Physician's Profile

Full Name	Gideon S Mecum
Gender	Male
Speciality	Pediatrics
Location	3215 N. North Hill Drive, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710106042
Provider Enumeration Date: 04/25/2007
Last Update Date: 02/18/2019

Medicare PECOS Information:

PECOS PAC ID: 2860543410
Enrollment ID: I20090622000698

Medical Identifiers

Medical identifiers for Gideon S Mecum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710106042	NPI	-	NPPES
177619001	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PP0204X	Emergency Medicine - Pediatric Emergency Medicine	E-6020 (Arkansas)	Secondary
208M00000X	Hospitalist	E-6020 (Arkansas)	Secondary
208000000X	Pediatrics	E-6020 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gideon S Mecum allows following entities to bill medicare on his behalf.

Entity Name	Northwest Benton County Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306801485 PECOS PAC ID: 8820995434 Enrollment ID: O20051208000082

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gideon S Mecum is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gideon S Mecum, MD 2730 E Mockernut Xing, Fayetteville, AR 72703-4938 Ph: (479) 236-0470	Gideon S Mecum, MD 3215 N. North Hill Drive, Fayetteville, AR 72703-4424 Ph: (479) 463-7102

Reviews and Comments

Pediatrics Doctors in Fayetteville, AR

Laureen J. Benafield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Virginia Lee Thomas, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Sean M. Livingston, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Dr. Neil A Tracy, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3215 N. North Hill Road, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864
Charles S. Ball, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379
Matthew G Cheadle, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3215 N North Hills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000
Orrin J Davis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703 Phone: 479-442-7322 Fax: 479-442-7379

Gideon S Mecum, MD - Medicare Pediatrics in Fayetteville, AR