| Michael Lowell Moulton, MD | |
|
813 Founders Park Dr E, Springdale, AR 72762-6314 | |
| (479) 463-2440 | |
| (479) 463-2465 |
| Full Name | Michael Lowell Moulton |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 38 Years |
| Location | 813 Founders Park Dr E, Springdale, 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 |
|---|---|---|---|
| 1558397489 | NPI | - | NPPES |
| 5N139 | Other | AR | AR BC/BS |
| 200054700A | Medicaid | OK | |
| 156776001 | Medicaid | AR | |
| P00219962 | Other | AR | RR MCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | E-4391 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Benton County Dialysis Ctr | Bentonville, AR | Dialysis facility |
| North Hills Dialysis | Fayetteville, AR | Dialysis facility |
| Davita - Springdale | Springdale, AR | Dialysis facility |
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington Regional Medical System | 8820995434 | 227 |
| 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 | Washington Regional Medical System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326376419 PECOS PAC ID: 8820995434 Enrollment ID: O20100130000001 |
| Entity Name | Ozark Senior Healthcare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124347380 PECOS PAC ID: 6406989862 Enrollment ID: O20100805000419 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Lowell Moulton, MD Po Box 550, Lowell, AR 72745-0550 Ph: (479) 463-7775 | Michael Lowell Moulton, MD 813 Founders Park Dr E, Springdale, AR 72762-6314 Ph: (479) 463-2440 |
Alshaimaa Hazaa, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4600 Mercy Ln Ste 140, Springdale, AR 72762 Phone: 479-347-3905 | |
Trenton Bickel, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4600 Mercy Ln Ste 240, Springdale, AR 72762 Phone: 479-338-4400 Fax: 479-347-3808 | |
Dr. Kevin J O'keefe, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3901 Parkway Cir Ste 550, Springdale, AR 72762 Phone: 479-903-4764 Fax: 479-346-1851 | |
John Windsor Esther, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3901 Parkway Cir Ste 100, Springdale, AR 72762 Phone: 479-581-7170 Fax: 479-587-1366 | |
John D Moore, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3901 Parkway Cir Ste 550, Springdale, AR 72762 Phone: 479-521-8200 Fax: 479-582-7310 | |
Mikaila Noel Wilson Calcagni, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3901 Parkway Cir, Springdale, AR 72762 Phone: 479-587-1700 Fax: 479-587-1366 | |
Dr. Umbar Ghaffar, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 813 Founders Park Drive, Suite 203, Springdale, AR 72762 Phone: 479-463-2440 Fax: 479-463-2465 |