| Keelee Lynn Talbott, | |
|
2710 S Rife Medical Ln, Rogers, AR 72758-1452 | |
| (479) 338-8000 | |
| Not Available |
| Full Name | Keelee Lynn Talbott |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2710 S Rife Medical Ln, Rogers, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942913066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1153 (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: O20050418001201 |
| Entity Name | Mercy Northwest Arkansas Ambulatory Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Keelee Lynn Talbott, 2012 S Promenade Blvd, Rogers, AR 72758-9073 Ph: (479) 616-1485 | Keelee Lynn Talbott, 2710 S Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-8000 |
Amanda Marie Eichholz, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-381-2694 |
Mrs. Grace Taylor Fulkerson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2029 S Hampton Pl, Rogers, AR 72758 Phone: 479-250-0289 |
Alexa Blaire Grand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S 52nd St, Rogers, AR 72758 Phone: 479-254-9662 Fax: 806-701-5845 |
Megan Breanna Sanchez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 597 S Horsebarn Rd, Rogers, AR 72758 Phone: 479-254-9662 |
Kindle Diane Simon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 S. 52nd St, Rogers, AR 72758 Phone: 479-271-9607 Fax: 479-271-2133 |
Jaren Jurian Hernandez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 |
Debra Lou Tooker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 S 52nd St, Rogers, AR 72758 Phone: 479-587-1700 Fax: 479-587-1366 |