| 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 | 2 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, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reding And Leach Md Pllc | 7012258627 | 62 |
| 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 |
| Entity Name | Reding & Leach MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382 |
| 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 |
Eunice Asare, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 |
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 |