| Phillip C Stites, MD | |
|
7900 Dallas Street, Fort Smith, AR 72903-5690 | |
| (479) 242-6647 | |
| (479) 250-0505 |
| Full Name | Phillip C Stites |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 28 Years |
| Location | 7900 Dallas Street, Fort Smith, 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 |
|---|---|---|---|
| 1821085887 | NPI | - | NPPES |
| 142944001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | E2778 (Arkansas) | Secondary |
| 207N00000X | Dermatology | E2778 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Dermatology Center Pllc | 5799842845 | 7 |
| Entity Name | The Dermatology Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376780098 PECOS PAC ID: 5799842845 Enrollment ID: O20090318000017 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip C Stites, MD 7900 Dallas Street, Fort Smith, AR 72903-5690 Ph: (479) 242-6647 | Phillip C Stites, MD 7900 Dallas Street, Fort Smith, AR 72903-5690 Ph: (479) 242-6647 |
Cyril E Severns, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7900 Dallas St, Fort Smith, AR 72903 Phone: 479-242-6647 Fax: 479-250-0505 | |
Chelsea Jones Meltzer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Sara Kurian Lamb, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Katie Clark Wadlington, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-649-3376 | |
Dr. George Luke Lewis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7900 Dallas Street, Fort Smith, AR 72903 Phone: 479-242-6647 Fax: 479-250-0505 | |
Dr. Sandra Marchese Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5921 Riley Park Dr, Fort Smith, AR 72916 Phone: 479-420-1221 Fax: 479-646-0133 | |
Dr. Brad Russell Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9207 Highway 71 S, Suite 9, Fort Smith, AR 72916 Phone: 479-649-3376 Fax: 479-646-0133 |