| Randy J Shinn, MD | |
|
12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 | |
| (479) 463-4444 | |
| (479) 463-4499 |
| Full Name | Randy J Shinn |
|---|---|
| Gender | Male |
| Speciality | Geriatric Medicine |
| Experience | 30 Years |
| Location | 12 E Appleby Rd, 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 |
|---|---|---|---|
| 1538119458 | NPI | - | NPPES |
| 138360001 | Medicaid | AR | |
| 5L296 | Other | AR | BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | E2220 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| 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 | Washington Regional Medical System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699731208 PECOS PAC ID: 8820995434 Enrollment ID: O20050912001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Randy J Shinn, MD 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 Ph: (479) 463-4444 | Randy J Shinn, MD 12 E Appleby Rd, Ste 101, Fayetteville, AR 72703-3901 Ph: (479) 463-4444 |
Lauren Cantwell Paulk, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1706 E Joyce Blvd Ste 2, Fayetteville, AR 72703 Phone: 479-966-9370 | |
David R Crittenden, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 1408 E Elmwood Dr, Fayetteville, AR 72703 Phone: 479-442-0759 | |
Kim R Agee, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7310 | |
Dr. David A Churchill, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3211 N Northhills Blvd, Suite 110, Fayetteville, AR 72703 Phone: 479-571-4338 Fax: 479-571-4015 | |
Dr. Marlan Levan Rhame Iii, M.D. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 Fax: 479-587-5929 | |
Waqar M Mehal, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 E Appleby, Suite 101, Fayetteville, AR 72703 Phone: 479-463-4444 Fax: 479-463-4499 | |
Dr. Jason Glenn Daily, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329 |