| Eli Jacob Fulfer, | |
|
609 W Maple Ave, Springdale, AR 72764-5335 | |
| (479) 530-9754 | |
| Not Available |
| Full Name | Eli Jacob Fulfer |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 609 W Maple Ave, Springdale, 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 |
|---|---|---|---|
| 1629848098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 213657 (Arkansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 213657 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center-springdale | Springdale, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Physicians Llc | 0244213213 | 39 |
| Entity Name | Northwest Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194768721 PECOS PAC ID: 0244213213 Enrollment ID: O20040610000882 |
| Entity Name | Holden Psychiatric Institute Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205001088 PECOS PAC ID: 9234114349 Enrollment ID: O20040622001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Eli Jacob Fulfer, 3109 S 28th Pl Apt 1, Rogers, AR 72758-4720 Ph: (479) 530-9754 | Eli Jacob Fulfer, 609 W Maple Ave, Springdale, AR 72764-5335 Ph: (479) 530-9754 |
Scarlett Vanessa Grandy, CNM, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 614 E Emma Ave Ste 300, Springdale, AR 72764 Phone: 479-751-7417 | |
Scott Grigg, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 Greathouse Springs Rd, Springdale, AR 72762 Phone: 479-684-3132 Fax: 479-684-3098 | |
Andrew Long, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 | |
Kaylee M Armendariz, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2878 Powell St, Springdale, AR 72764 Phone: 479-872-3045 Fax: 479-419-5947 | |
James Robert Feher, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4077 Elm Springs Rd Ste 105, Springdale, AR 72762 Phone: 479-927-2100 | |
Kelsey Breanne Gay, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2988 W Huntsville Ave Ste C, Springdale, AR 72762 Phone: 479-250-4849 | |
Stephanie Burks, FNP-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 S Thompson St Ste 4a, Springdale, AR 72764 Phone: 479-445-9900 |