| Brent Rush, | |
|
246 S Maestri Rd Ste 2, Tontitown, AR 72762-9703 | |
| (479) 220-9909 | |
| Not Available |
| Full Name | Brent Rush |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 246 S Maestri Rd Ste 2, Tontitown, 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 |
|---|---|---|---|
| 1184072258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004751 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Siloam Springs Regional Hospital | Siloam springs, AR | Hospital |
| Entity Name | Southeastern Emergency Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20070301000532 |
| Entity Name | Siloam Springs Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013155431 PECOS PAC ID: 9032275318 Enrollment ID: O20090312000025 |
| Entity Name | South Arkansas Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942435458 PECOS PAC ID: 4486705720 Enrollment ID: O20090629000005 |
| Entity Name | North Arkansas Regenerative Medicine Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356981641 PECOS PAC ID: 3678904034 Enrollment ID: O20200519001488 |
| Entity Name | Northwest Arkansas Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174285373 PECOS PAC ID: 6507258837 Enrollment ID: O20220119001399 |
| Entity Name | Northwest Arkansas Functional Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417669029 PECOS PAC ID: 5294106787 Enrollment ID: O20230119002667 |
| Entity Name | Ies Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598488090 PECOS PAC ID: 6204207665 Enrollment ID: O20230123000050 |
| Entity Name | Springdale Bentonville Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Rush, 246 S Maestri Rd Ste 2, Tontitown, AR 72762-9703 Ph: (479) 220-9909 | Brent Rush, 246 S Maestri Rd Ste 2, Tontitown, AR 72762-9703 Ph: (479) 220-9909 |
Suyapa Mariel Jackson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1523 Padova Ave, Tontitown, AR 72762 Phone: 601-209-9031 |