Rebecca Dimanche, | |
624 Hospital Dr, Mountain Home, AR 72653-2955 | |
(870) 508-1000 | |
Not Available |
Full Name | Rebecca Dimanche |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 624 Hospital Dr, Mountain Home, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265164396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4351049418 (Michigan) | Secondary |
207P00000X | Emergency Medicine | E-19570 (Arkansas) | Primary |
Entity Name | Cep America Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Dimanche, 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: () - | Rebecca Dimanche, 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: (870) 508-1000 |
Billy Gene Bisswanger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 | |
James M Mcdaniel Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-7070 | |
Dr. David A Stills, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 | |
Philip K Sadler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-7070 | |
Melissa N Quevillon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-3181 Fax: 870-424-3089 | |
Spencer Charles Wright, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 |