| John Tucker Mccormick, PA-C | |
|
4375 N Vantage Dr Ste 305, Fayetteville, AR 72703-4984 | |
| (479) 443-5100 | |
| (479) 443-5117 |
| Full Name | John Tucker Mccormick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 4375 N Vantage Dr Ste 305, Fayetteville, 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 |
|---|---|---|---|
| 1477066926 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ozark Dermatology Clinic | 5799712147 | 15 |
| Entity Name | Ozark Dermatology Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134207483 PECOS PAC ID: 5799712147 Enrollment ID: O20050831000852 |
| Mailing Address | Practice Location Address |
|---|---|
| John Tucker Mccormick, PA-C 4375 N Vantage Dr Ste 305, Fayetteville, AR 72703-4984 Ph: (479) 443-5100 | John Tucker Mccormick, PA-C 4375 N Vantage Dr Ste 305, Fayetteville, AR 72703-4984 Ph: (479) 443-5100 |
Kristin Salmon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Savannah Hill, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Charles Earl Wall Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 |
Moorea Leigh Massa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 |
Alexis Mikayla Clark, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1438 E Augustine Ln Ste 2, Fayetteville, AR 72703 Phone: 479-335-5777 |
Madalynn Potter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 |
Wesley Mcgehee, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3352 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-2752 Fax: 479-443-7862 |