| Michelle Davis, APRN | |
|
118 Tiger Dr, Charleston, AR 72933-6013 | |
| (479) 965-0806 | |
| (479) 965-0807 |
| Full Name | Michelle Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 118 Tiger Dr, Charleston, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588106678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | A004395 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A004395 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| North Logan Mercy Hospital | Paris, AR | Hospital |
| Mercy Hospital Booneville | Booneville, AR | Hospital |
| Mercy Hospital Ozark | Ozark, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | Roller Weight Loss Institute, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073743399 PECOS PAC ID: 0446398770 Enrollment ID: O20091106000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Davis, APRN Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 543-6979 | Michelle Davis, APRN 118 Tiger Dr, Charleston, AR 72933-6013 Ph: (479) 965-0806 |
Mr. Robert Jack Langston, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 | |
Mrs. Melea Mccormick, SANE-A/P, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 | |
Tania Kay Barham, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Main St, Charleston, AR 72933 Phone: 479-208-1880 | |
Joann Michele Cain, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 Fax: 479-965-2008 | |
Richard Scott Savage, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 S Logan St, Charleston, AR 72933 Phone: 479-573-3120 Fax: 479-965-2008 | |
Timbi D West, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1006 E Main Street, Charleston, AR 72933 Phone: 479-965-7702 Fax: 479-965-2180 |