| Mikel Dashtipour, PA | |
|
813 Founders Park Dr E Ste 203, Springdale, AR 72762-6322 | |
| (479) 463-2440 | |
| (479) 463-2465 |
| Full Name | Mikel Dashtipour |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 813 Founders Park Dr E Ste 203, 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 |
|---|---|---|---|
| 1215495650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1509 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cox Medical Centers | Springfield, MO | Hospital |
| Cox Monett Hospital | Monett, MO | Hospital |
| Cox Medical Center Branson | Branson, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lester E Cox Medical Centers | 8628092897 | 243 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760405864 PECOS PAC ID: 8628092897 Enrollment ID: O20060116000342 |
| Mailing Address | Practice Location Address |
|---|---|
| Mikel Dashtipour, PA 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6322 Ph: (479) 463-2440 | Mikel Dashtipour, PA 813 Founders Park Dr E Ste 203, Springdale, AR 72762-6322 Ph: (479) 463-2440 |
Michael L Valentine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5501 Willow Creek Dr, Suite 203, Springdale, AR 72762 Phone: 479-521-0900 Fax: 479-521-7284 |
Cassie Kaufman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Mercy Ln Ste 220, Springdale, AR 72762 Phone: 479-347-3810 Fax: 479-338-3089 |
David Paul Bailey, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2601 Gene George Blvd, Springdale, AR 72762 Phone: 479-334-3485 Fax: 479-725-6582 |
Mrs. Michelle Lee Manthe, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5320 W Sunset Ave Ste 157, Springdale, AR 72762 Phone: 479-966-7331 Fax: 855-618-2364 |
Elizabeth Wohlford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 609 W Maple Ave, Springdale, AR 72764 Phone: 479-751-5711 |
Diana Kay Braziel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3901 Parkway Cir, Springdale, AR 72762 Phone: 479-587-1700 Fax: 479-587-1366 |
Mr. John Daniel Nicholas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4001 Wagon Wheel Rd, Springdale, AR 72762 Phone: 479-725-3000 Fax: 479-725-3095 |