| Robert Todd Pennington, FNP-C | |
|
402 S Lee St, Hampton, AR 71744-8615 | |
| (870) 798-4299 | |
| Not Available |
| Full Name | Robert Todd Pennington |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 402 S Lee St, Hampton, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235698200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A006109 (Arkansas) | Primary |
| Entity Name | Cabun Rural Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912946807 PECOS PAC ID: 9133029234 Enrollment ID: O20040113000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Todd Pennington, FNP-C 402 S Lee St, Hampton, AR 71744-8615 Ph: () - | Robert Todd Pennington, FNP-C 402 S Lee St, Hampton, AR 71744-8615 Ph: (870) 798-4299 |
Wanda Renee Mcclellan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 South Lee Street, Hampton, AR 71744 Phone: 870-798-4299 Fax: 870-798-2005 | |
Charlyn Sue Hackett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 S Lee St, Hampton, AR 71744 Phone: 870-798-4064 | |
Rhonda Seat, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Lee Street, Hampton, AR 71744 Phone: 870-798-4064 Fax: 870-798-4100 |