| Rebecca Dimanche, | |
|
624 Hospital Dr, Mountain Home, AR 72653-2955 | |
| (870) 508-1000 | |
| Not Available |
| Full Name | Rebecca Dimanche |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 624 Hospital Dr, Mountain Home, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Health | Mountain home, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter Emergency Group Pllc | 7810023108 | 12 |
| East Arkansas Emergency Physicians Pllc | 5698909067 | 27 |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
| 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 | Baxter Emergency Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245560424 PECOS PAC ID: 7810023108 Enrollment ID: O20100325000569 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699070649 PECOS PAC ID: 3870668510 Enrollment ID: O20110303000543 |
| Entity Name | East Arkansas Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932442985 PECOS PAC ID: 5698909067 Enrollment ID: O20131018000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Dimanche, 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: Not Available | Rebecca Dimanche, 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: (870) 508-1000 |
Billy Gene Bisswanger, MD Emergency Medicine Medicare: Medicare Enrolled 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: Medicare Enrolled 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 |
Dr. Bradley Dale Schulz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 |