| Mrs Lan Ngoc Nguyen, FNP/APRN | |
|
2713 S 74th St, Fort Smith, AR 72903-5170 | |
| (479) 314-4620 | |
| (479) 314-4630 |
| Full Name | Mrs Lan Ngoc Nguyen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 2713 S 74th St, Fort Smith, 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 |
|---|---|---|---|
| 1326472002 | NPI | - | NPPES |
| 1326472002 | Other | CT | ANTHEM BCBS |
| 561230 | Other | CT | CONNECTICARE |
| 004236130 | Medicaid | CT |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Northwest Arkansas Ambulatory Services, Llc | 3779827993 | 50 |
| Mercy Clinic Fort Smith Communities | 3870668510 | 361 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454 |
| Entity Name | Medexpress Urgent Care Arkansas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578984357 PECOS PAC ID: 7012132293 Enrollment ID: O20140701002053 |
| Entity Name | Mercy Northwest Arkansas Ambulatory Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366922320 PECOS PAC ID: 3779827993 Enrollment ID: O20181129000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lan Ngoc Nguyen, FNP/APRN 2713 S 74th St, Fort Smith, AR 72903-5170 Ph: (479) 314-4620 | Mrs Lan Ngoc Nguyen, FNP/APRN 2713 S 74th St, Fort Smith, AR 72903-5170 Ph: (479) 314-4620 |