| Ryan David Mahelona, | |
|
230 W Center St, Fayetteville, AR 72701-5934 | |
| (623) 217-1716 | |
| Not Available |
| Full Name | Ryan David Mahelona |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 230 W Center St, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720575111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E-16683 (Arkansas) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 60084 (Arizona) | Secondary |
| Entity Name | District Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336472448 PECOS PAC ID: 7315086691 Enrollment ID: O20091125000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan David Mahelona, 316 S Gregg Ave, Fayetteville, AR 72701-5860 Ph: (623) 217-1716 | Ryan David Mahelona, 230 W Center St, Fayetteville, AR 72701-5934 Ph: (623) 217-1716 |
Dr. Martha A. Morrison, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3715 N Business Dr, Suite 104, Fayetteville, AR 72703 Phone: 479-521-1532 Fax: 479-521-4971 | |
Audrey Claire Shilander, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Margaret F Tremwel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 Fax: 479-463-3050 | |
Dr. Janet Lee Tekell, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Psychiatry 116a, Fayetteville, AR 72703 Phone: 479-444-5078 Fax: 479-444-5039 | |
Kyle Mitchell Camp, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3425 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-713-8350 Fax: 479-332-0701 | |
Ms. Dorothee S Mecum, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3425 N Futrall Dr Ste 103, Fayetteville, AR 72703 Phone: 479-332-0700 Fax: 479-332-0701 | |
Dr. Shefa Rahman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1955 W Truckers Dr, Fayetteville, AR 72704 Phone: 479-973-6000 Fax: 479-973-6050 |