| Elizabeth Catherine Speck, | |
|
3760 Irby Dr, Conway, AR 72034-3381 | |
| (501) 733-6985 | |
| Not Available |
| Full Name | Elizabeth Catherine Speck |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3760 Irby Dr, Conway, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235695321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2020022071 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Faulkner Emergency Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083279533 PECOS PAC ID: 1557694049 Enrollment ID: O20190617000848 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Catherine Speck, 3760 Irby Dr, Conway, AR 72034-3381 Ph: (501) 733-6985 | Elizabeth Catherine Speck, 3760 Irby Dr, Conway, AR 72034-3381 Ph: (501) 733-6985 |
Sloane Ashton Precure, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Club Ln Ste 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-513-0478 |
Lakyn Michelle Payne, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 812 Oak St, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-368-0123 |
Kaylen Welter, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Club Ln, Conway, AR 72034 Phone: 501-329-1510 |
Lance Kennedy Harris, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1555 Exchange Ave, Conway, AR 72032 Phone: 501-585-2400 |
Janet Reed, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3650 College Ave, Conway, AR 72034 Phone: 501-327-6900 Fax: 501-327-3690 |
Lindsay Hutchins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1700 Altus St, Conway, AR 72032 Phone: 501-513-5909 Fax: 501-513-5257 |
Christy Lynn Grihalva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Altus St, Conway, AR 72032 Phone: 501-513-5909 Fax: 501-513-5257 |