| Moorea Leigh Massa, PA-C | |
|
3336 N Futrall Dr, Fayetteville, AR 72703-4057 | |
| (479) 463-3000 | |
| Not Available |
| Full Name | Moorea Leigh Massa |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 3336 N Futrall Dr, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013664093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
| Entity Name | Washington Regional Medical System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104097500 PECOS PAC ID: 8820995434 Enrollment ID: O20080630000683 |
| Entity Name | Ies Arkansas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598488090 PECOS PAC ID: 6204207665 Enrollment ID: O20230123000050 |
| Entity Name | Springdale Bentonville Hbp Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811762701 PECOS PAC ID: 1052759263 Enrollment ID: O20240408001674 |
| Mailing Address | Practice Location Address |
|---|---|
| Moorea Leigh Massa, PA-C 614 Ne Alpha Cir Apt 308, Bentonville, AR 72712-3050 Ph: (828) 551-9925 | Moorea Leigh Massa, PA-C 3336 N Futrall Dr, Fayetteville, AR 72703-4057 Ph: (479) 463-3000 |
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 |
Mrs. Grace Taylor Long, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-463-3000 Fax: 479-463-3050 |
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 |