| Mr Terry Todd Milam, CRNA | |
|
525 Western Ave, Suite 201, Conway, AR 72034-4967 | |
| (501) 327-6665 | |
| (501) 730-0289 |
| Full Name | Mr Terry Todd Milam |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 525 Western Ave, Conway, 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 |
|---|---|---|---|
| 1619964012 | NPI | - | NPPES |
| 146260701 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP123726 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | C01353 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Medical Group Of Arkansas Ltd | 3173056298 | 108 |
| St Vincent Medical Group | 5698758803 | 205 |
| Entity Name | Gastroenterology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851395792 PECOS PAC ID: 5698687101 Enrollment ID: O20031107000592 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Conway Anesthesiology Consultants, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568423820 PECOS PAC ID: 6901796267 Enrollment ID: O20040318001545 |
| 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 | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269 |
| Entity Name | Gastro Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366700890 PECOS PAC ID: 3577727700 Enrollment ID: O20120619000424 |
| Entity Name | Southern Regional Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902231673 PECOS PAC ID: 2961633870 Enrollment ID: O20140318000757 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417439944 PECOS PAC ID: 5496793390 Enrollment ID: O20181017000632 |
| Entity Name | Billins Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184284291 PECOS PAC ID: 5890025894 Enrollment ID: O20190917003746 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1265192835 PECOS PAC ID: 5496793390 Enrollment ID: O20220628002353 |
| Entity Name | Dream Team Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215629464 PECOS PAC ID: 8820457021 Enrollment ID: O20230706002251 |
| Entity Name | Renew Medical Group Of Arkansas Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215755947 PECOS PAC ID: 3173056298 Enrollment ID: O20241029000873 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Terry Todd Milam, CRNA 525 Western Ave, Suite 201, Conway, AR 72034-4967 Ph: (501) 327-6665 | Mr Terry Todd Milam, CRNA 525 Western Ave, Suite 201, Conway, AR 72034-4967 Ph: (501) 327-6665 |
Justin Lane Alexander, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2302 College Ave, Conway, AR 72034 Phone: 501-329-3831 | |
Andrew Loyd Osmon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2425 Prince St Ste 4, Conway, AR 72034 Phone: 501-327-6665 | |
Bethany Roberts, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Conway, AR 72034 Phone: 501-208-3207 | |
Michael Marsh, R.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 Merriman St, Conway, AR 72032 Phone: 501-329-3937 | |
Pamela L. Padgett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 Western Ave, Suite 201, Conway, AR 72034 Phone: 501-327-6665 | |
Mr. Jeffery Scott Owen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 Western Avenue Ste 201, Conway, AR 72034 Phone: 501-327-6665 Fax: 501-730-0289 |