| Jonathan L Davis, MD | |
|
3215 N. North Hills Blvd., Fayetteville, AR 72703 | |
| (479) 463-7102 | |
| (479) 463-7864 |
| Full Name | Jonathan L Davis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 3215 N. North Hills Blvd., 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 |
|---|---|---|---|
| 1679556880 | NPI | - | NPPES |
| 047338101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1828 (Texas) | Secondary |
| 208M00000X | Hospitalist | E-2690 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Mercy Hospital Berryville | Berryville, AR | Hospital |
| Merit Health Biloxi | Biloxi, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Northwest Arkansas Communities | 0648177873 | 296 |
| Springdale Bentonville Hbp Services Llc | 1052759263 | 94 |
| Mercy Hospital Berryville | 9032022769 | 9 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20040505000763 |
| 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 |
| Entity Name | Mercy Hospital Berryville |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457306326 PECOS PAC ID: 9032022769 Enrollment ID: O20061104000216 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454 |
| Entity Name | Ies Hsp Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943 |
| Entity Name | Springdale Bentonville Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan L Davis, MD 12 East Appleby Road, Suite 102, Fayetteville, AR 72703 Ph: (479) 463-7102 | Jonathan L Davis, MD 3215 N. North Hills Blvd., Fayetteville, AR 72703 Ph: (479) 463-7102 |
Jay P Hinkle, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3336 N. Futrall, Fayetteville, AR 72703 Phone: 479-463-3000 Fax: 479-463-3050 | |
Thida Win, M.D Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Jonna M. Dyer, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3215 N. North Hills Blvd., Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dr. Jon Garrett Mccowan, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dr. Joshua Michael Spore, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 | |
Derinda Trobaugh, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-1000 | |
Michael A Bolding, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3215 N Northhills Blvd, Hospital Medicine Group, Fayetteville, AR 72703 Phone: 479-463-1000 |