| Travis Dale Embry, MD | |
|
934 North Gaskill, Huntsville, AR 72740-1319 | |
| (479) 738-5500 | |
| (479) 738-1350 |
| Full Name | Travis Dale Embry |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 934 North Gaskill, Huntsville, 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 |
|---|---|---|---|
| 1750386876 | NPI | - | NPPES |
| 5K542 | Other | AR | ARKANSAS BLUE CROSS |
| 5K542B477 | Other | AR | MEDICARE PIN |
| P00014909 | Other | AR | RAILROAD MEDICARE |
| 131873001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N8375 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of North Arkansas | Springdale, AR | Hospice |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Meadowview Healthcare And Rehab | Huntsville, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozark Physical Therapy Inc. | 1052400850 | 34 |
| Boston Mountain Rural Health Center, Inc | 3870401722 | 49 |
| University Of Arkansas For Medical Sciences | 4082528955 | 1146 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477953248 PECOS PAC ID: 4082528955 Enrollment ID: O20040511000890 |
| Entity Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Dale Embry, MD Po Box 1060, Marshall, AR 72650-1060 Ph: (870) 448-5101 | Travis Dale Embry, MD 934 North Gaskill, Huntsville, AR 72740-1319 Ph: (479) 738-5500 |
Danny L Proffitt, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 934 North Gaskill, Huntsville, AR 72740 Phone: 479-738-5500 Fax: 479-738-1350 | |
Carl E Vest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 934 Norh Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 Fax: 479-738-1350 | |
Thomas Louie Embry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Phillips Place, Huntsville, AR 72740 Phone: 479-738-1700 Fax: 479-738-5510 |