| Raven Shelby Ayers, PA-C | |
|
125 Arkansas Blvd, Texarkana, AR 71854-1963 | |
| (870) 772-9355 | |
| (870) 772-9360 |
| Full Name | Raven Shelby Ayers |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 125 Arkansas Blvd, Texarkana, 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 |
|---|---|---|---|
| 1629586573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-759 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southwest Arkansas Regional Medical Center Llc | Hope, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthcare Express, Llp | 9739131442 | 68 |
| Access Medical Clinic Arkansas Llc | 5890077093 | 143 |
| Entity Name | Healthcare Express, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780029892 PECOS PAC ID: 9739131442 Enrollment ID: O20081120000865 |
| Entity Name | Bradley Bibb MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488 |
| Entity Name | Access Medical Clinic Arkansas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Raven Shelby Ayers, PA-C 3515 Richmond Rd, Texarkana, TX 75503-0711 Ph: (903) 791-9355 | Raven Shelby Ayers, PA-C 125 Arkansas Blvd, Texarkana, AR 71854-1963 Ph: (870) 772-9355 |
Johnathan David Steele, MS, MMS, LPC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2904 Arkansas Blvd, Texarkana, AR 71854 Phone: 870-773-4655 Fax: 870-772-4650 |
Jack N Hehmeyer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1205 E 35th St, Texarkana, AR 71854 Phone: 903-735-5355 Fax: 903-735-5399 |