| Monique Thammavong, APRN, NP-C | |
|
209 Pointer Trl W Ste A, Van Buren, AR 72956-2238 | |
| (479) 474-1100 | |
| (479) 471-1335 |
| Full Name | Monique Thammavong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 209 Pointer Trl W Ste A, Van Buren, 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 |
|---|---|---|---|
| 1275932253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004175 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Baptist Health - Van Buren | Van buren, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Health Services | 0648514133 | 90 |
| Entity Name | Urgent Team Of Arkansas Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992041370 PECOS PAC ID: 1850539198 Enrollment ID: O20130529000209 |
| Entity Name | Baptist Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922587690 PECOS PAC ID: 0648514133 Enrollment ID: O20181211001401 |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Thammavong, APRN, NP-C 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (479) 474-1100 | Monique Thammavong, APRN, NP-C 209 Pointer Trl W Ste A, Van Buren, AR 72956-2238 Ph: (479) 474-1100 |
Mrs. Charlotte Jane Stark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-314-4000 Fax: 479-314-4050 | |
Jacee Mae Banning, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 Chestnut St Ste B, Van Buren, AR 72956 Phone: 479-262-2724 Fax: 479-262-2727 | |
Larhonda Kay Torrey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 Pointer Trl W, Van Buren, AR 72956 Phone: 479-474-1100 | |
Mrs. Stephanie Ann Davis, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Broadway St, Van Buren, AR 72956 Phone: 479-474-5061 | |
Laura A. Henson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2521 Alma Hwy, Van Buren, AR 72956 Phone: 877-522-1275 Fax: 833-888-7145 | |
Stefanie A Ellis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2800 Fayetteville Rd, Van Buren, AR 72956 Phone: 479-314-4000 Fax: 479-314-4050 |