| Brooke Marie Guillo, PA-C | |
|
2037 W Main St, Cabot, AR 72023-7479 | |
| (501) 843-4555 | |
| Not Available |
| Full Name | Brooke Marie Guillo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2037 W Main St, Cabot, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518357086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-590 (Arkansas) | Primary |
| Entity Name | Southeastern Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
| Entity Name | Fast Pace Medical Clinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134452865 PECOS PAC ID: 5395881841 Enrollment ID: O20091014000112 |
| Entity Name | Methodist University Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023899291 PECOS PAC ID: 4981052719 Enrollment ID: O20231204003274 |
| Entity Name | Germantown Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518747526 PECOS PAC ID: 7214386812 Enrollment ID: O20231207003122 |
| Entity Name | Methodist North Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801677083 PECOS PAC ID: 0941659247 Enrollment ID: O20231212002784 |
| Entity Name | Methodist South Emergency Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609657873 PECOS PAC ID: 6406205608 Enrollment ID: O20231213002628 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Marie Guillo, PA-C 2037 W Main St, Cabot, AR 72023-7479 Ph: (501) 843-4555 | Brooke Marie Guillo, PA-C 2037 W Main St, Cabot, AR 72023-7479 Ph: (501) 843-4555 |
Akasha Westbrook, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2711 Janice Dr, Cabot, AR 72023 Phone: 501-467-4070 |
Anne Meredith Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 Westport Dr, Cabot, AR 72023 Phone: 501-843-6585 |
Ms. Christina M Reid, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 205 Westport Dr, Suite 1, Cabot, AR 72023 Phone: 501-843-6585 Fax: 501-843-2380 |
Eryn N Davis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2037 W Main St, Cabot, AR 72023 Phone: 501-843-4555 |
Daniel David Ring, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 Westport Dr Ste 1, Cabot, AR 72023 Phone: 501-843-6585 Fax: 501-843-2380 |
Angela E Eichhorn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2037 W Main St, Cabot, AR 72023 Phone: 501-843-4555 |
Samantha M. Greene, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2037 W Main St, Cabot, AR 72023 Phone: 501-843-4555 |