| Mr Nathan Gerrell Fawbush, APRN | |
|
15111 Highway 165, Scott, AR 72142 | |
| (501) 552-7999 | |
| Not Available |
| Full Name | Mr Nathan Gerrell Fawbush |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 15111 Highway 165, Scott, 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 |
|---|---|---|---|
| 1811401193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005332 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Medical Center/north | Sherwood, AR | Hospital |
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| St Vincent Hot Springs | Hot springs, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Medical Group | 5698758803 | 243 |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | D&d Doctors Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831626183 PECOS PAC ID: 5597025163 Enrollment ID: O20180131001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Nathan Gerrell Fawbush, APRN 15111 Highway 165, Scott, AR 72142 Ph: (501) 552-7999 | Mr Nathan Gerrell Fawbush, APRN 15111 Highway 165, Scott, AR 72142 Ph: (501) 552-7999 |
Sarah Patterson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12120 Georgetown Lake Rd, Scott, AR 72142 Phone: 501-454-9327 | |
Ms. Keesha Machie Brown, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6125 Highway 161 S, Scott, AR 72142 Phone: 501-952-1568 |