| Sameer Umakant Wagle, MD | |
|
4301 Greathouse Springs Rd, Springdale, AR 72762-8701 | |
| (479) 684-3132 | |
| (479) 684-3098 |
| Full Name | Sameer Umakant Wagle |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 4301 Greathouse Springs Rd, Springdale, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780603076 | NPI | - | NPPES |
| 149710001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | E-3625 (Arkansas) | Primary |
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Sameer Umakant Wagle, MD 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 Ph: () - | Sameer Umakant Wagle, MD 4301 Greathouse Springs Rd, Springdale, AR 72762-8701 Ph: (479) 684-3132 |
Jeffrey Dale Grills, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6977 Fax: 479-725-6577 | |
Dr. Meredith Anne Denton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3057 Springdale Ave, Springdale, AR 72762 Phone: 479-756-1699 Fax: 479-756-1693 | |
Dr. Bryce Alston Vance, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-309-5391 Fax: 479-725-6582 | |
Casie Marie James, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6866 Fax: 479-725-6868 | |
Dr. Sarah Morris Weston, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-725-6977 Fax: 479-725-6577 | |
Andrew Arthur Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 794-725-6801 Fax: 479-725-6577 | |
Dr. Matthew W Deel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2575 Gene George Blvd Ste 100, Springdale, AR 72762 Phone: 479-750-0125 Fax: 479-750-0323 |