| Mr Jeremy Wayne Owen, NP | |
|
603 N Progress Ave, Siloam Springs, AR 72761-4352 | |
| (479) 524-4141 | |
| (479) 549-2577 |
| Full Name | Mr Jeremy Wayne Owen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 603 N Progress Ave, Siloam Springs, 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 |
|---|---|---|---|
| 1144881665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 121399 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | 2019035092 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Poplar Bluff Regional Medical Center | Poplar bluff, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springdale Bentonville Hbp Services Llc | 1052759263 | 94 |
| Missouri Hb Medical Services Llc | 2668813197 | 62 |
| Entity Name | South Arkansas Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942435458 PECOS PAC ID: 4486705720 Enrollment ID: O20090629000005 |
| Entity Name | Northwest Arkansas Hbp Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174285373 PECOS PAC ID: 6507258837 Enrollment ID: O20220119001399 |
| 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 |
|---|---|
| Mr Jeremy Wayne Owen, NP 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Mr Jeremy Wayne Owen, NP 603 N Progress Ave, Siloam Springs, AR 72761-4352 Ph: (479) 524-4141 |
Mr. Sam Simpson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3721 Highway 412 E Ste B, Siloam Springs, AR 72761 Phone: 479-215-3080 | |
Jennifer Smith, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3721 Highway 412 E Ste A, Siloam Springs, AR 72761 Phone: 479-215-3035 | |
Summer Lokey, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 E Quarter Rd, Siloam Springs, AR 72761 Phone: 479-238-1222 | |
Attrice Richards, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3609 N Robin Ct, Siloam Springs, AR 72761 Phone: 417-483-7758 | |
Ms. Vicki Hurley Moore, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 S Mount Olive St, Suite 200, Siloam Springs, AR 72761 Phone: 479-524-9550 Fax: 479-524-9552 | |
Barbara Ervin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1700 E Quarter Rd, Siloam Springs, AR 72761 Phone: 479-238-1222 |