| Kenton Lee Hagan, | |
|
3900 N Parkview Dr, Fayetteville, AR 72703-6398 | |
| (479) 966-4187 | |
| (479) 966-4197 |
| Full Name | Kenton Lee Hagan |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 10 Years |
| Location | 3900 N Parkview 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 |
|---|---|---|---|
| 1235524653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | E-12883 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Orthopaedic And Joint Preservation Center Of Arkansas, P.a. | 0042248445 | 12 |
| Entity Name | The Orthopaedic And Joint Preservation Center Of Arkansas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528079407 PECOS PAC ID: 0042248445 Enrollment ID: O20050727000868 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenton Lee Hagan, 3900 N Parkview Dr, Fayetteville, AR 72703-6398 Ph: (479) 966-4187 | Kenton Lee Hagan, 3900 N Parkview Dr, Fayetteville, AR 72703-6398 Ph: (479) 966-4187 |
Dr. Tyler Lewis Carllee, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 W Van Asche Loop, Fayetteville, AR 72703 Phone: 479-966-4491 Fax: 479-966-4311 | |
Dr. Christopher Noel Henley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703 Phone: 479-587-3130 Fax: 479-444-6942 | |
Dr. Mathew Jack Coker, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703 Phone: 479-521-2752 Fax: 479-444-6942 | |
Dr. Charles Kristian Hanby, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703 Phone: 479-521-2752 Fax: 479-444-6942 | |
David Erik Yakin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 N Parkview Dr, Fayetteville, AR 72703 Phone: 479-966-4187 Fax: 479-966-4197 | |
Dr. Jason H Pleimann, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703 Phone: 479-521-2752 Fax: 479-443-7862 |