| Rayetta Eaton, MD | |
|
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
| (479) 787-5291 | |
| (479) 344-6404 |
| Full Name | Rayetta Eaton |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1101 Jackson St Sw, Gravette, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467407056 | NPI | - | NPPES |
| 5K334 | Other | AR | BLUE CROSS |
| 130593001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-1070 (Arkansas) | Primary |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1568643005 PECOS PAC ID: 5092616276 Enrollment ID: O20081016000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Rayetta Eaton, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 | Rayetta Eaton, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5291 |
Dr. David John Tucker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. Nancy L Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. Vijay Kumar Kannam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. William Frank Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. Kenneth Marcus Poemoceah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 |