| Dr Ron D Lee, MD | |
|
775 E Douglas St, Prairie Grove, AR 72753 | |
| (479) 846-5005 | |
| (479) 846-5056 |
| Full Name | Dr Ron D Lee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 775 E Douglas St, Prairie Grove, 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 |
|---|---|---|---|
| 1376572800 | NPI | - | NPPES |
| P00200377 | Other | AR | RR MCR |
| 138638001 | Medicaid | AR | |
| 5L286 | Other | AR | AR BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-2297 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of Northwest Arkansas, Pa | 3678542073 | 107 |
| Fands Physical Therapy, Inc | 7810898459 | 145 |
| Entity Name | Medical Associates Of Northwest Arkansas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ron D Lee, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038 | Dr Ron D Lee, MD 775 E Douglas St, Prairie Grove, AR 72753 Ph: (479) 846-5005 |
Dr. James Dunn, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 621 S Mock St, Prairie Grove, AR 72753 Phone: 479-422-7212 Fax: 479-345-5376 | |
Christian G Blankers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 E Douglas St, Prairie Grove, AR 72753 Phone: 479-846-5005 Fax: 479-846-5056 | |
Taylor Dilday, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 775 E Douglas St, Prairie Grove, AR 72753 Phone: 479-846-5005 Fax: 479-846-5056 |