| Jeanmarie Householder, MD | |
|
1500 Dodson Ave, Ste 230, Fort Smith, AR 72901-5182 | |
| (479) 709-7490 | |
| (479) 709-7495 |
| Full Name | Jeanmarie Householder |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 28 Years |
| Location | 1500 Dodson Ave, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659369973 | NPI | - | NPPES |
| 100032950A | Medicaid | OK | |
| 146290001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | E3223 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Entity Name | Eastside Ob/gyn P.l.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396786042 PECOS PAC ID: 9436116217 Enrollment ID: O20041213001113 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | Obhg Arkansas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962862920 PECOS PAC ID: 4880984558 Enrollment ID: O20160608001838 |
| Entity Name | Obhg Arkansas West Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518421767 PECOS PAC ID: 3274868633 Enrollment ID: O20190709000294 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanmarie Householder, MD Po Box 402330, Atlanta, GA 30384-2330 Ph: (479) 709-7399 | Jeanmarie Householder, MD 1500 Dodson Ave, Ste 230, Fort Smith, AR 72901-5182 Ph: (479) 709-7490 |
Melissa Rainwater, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7001 Rogers Ave, Suite 502, Fort Smith, AR 72903 Phone: 479-484-5901 | |
Dr. Stuart Dean Haraway, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7001 Rogers Ave, Suite 400, Fort Smith, AR 72903 Phone: 479-274-5000 Fax: 479-274-5099 | |
Venus J. Nabors, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7001 Rogers Ave Ste 403, Fort Smith, AR 72903 Phone: 479-785-2229 Fax: 479-478-6745 | |
Thomas R Wood, D.O. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 7001 Rogers Ave Ste 502, Fort Smith, AR 72903 Phone: 479-484-5901 Fax: 479-484-0778 | |
Dr. Tiffany Alexander, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1500 Dodson Ave Ste 230, Fort Smith, AR 72901 Phone: 479-709-7490 Fax: 479-709-7495 | |
Dr. Andrew Balford Riche, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3224 S 70th St, Fort Smith, AR 72903 Phone: 479-785-2229 Fax: 479-478-6745 | |
Dr. Rebecca Cisneros, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-314-6000 |