| Samantha Davis, APRN | |
|
2323 N Highway 229 Ste B, Haskell, AR 72015-7244 | |
| (888) 710-8220 | |
| (866) 573-0761 |
| Full Name | Samantha Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2323 N Highway 229 Ste B, Haskell, 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 |
|---|---|---|---|
| 1124537162 | NPI | - | NPPES |
| 223149758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005362 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Howard Memorial Hospital | Nashville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Randy D Walker, Md, Pllc | 0345468724 | 10 |
| First Care Family Medicine-mena Pllc | 3375804784 | 3 |
| Healthstar Physicians Of Hot Springs Pllc | 5698665685 | 52 |
| Entity Name | Healthstar Physicians Of Hot Springs Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821176934 PECOS PAC ID: 5698665685 Enrollment ID: O20040315001542 |
| Entity Name | Healthstar Physicians Of Hot Springs Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740368877 PECOS PAC ID: 5698665685 Enrollment ID: O20110923000436 |
| Entity Name | Healthstar Physicians Of Hot Springs Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316279375 PECOS PAC ID: 5698665685 Enrollment ID: O20111013000427 |
| Entity Name | Randy D Walker, Md, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114185121 PECOS PAC ID: 0345468724 Enrollment ID: O20140826002759 |
| Entity Name | Nes Kentucky Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902348048 PECOS PAC ID: 7416846076 Enrollment ID: O20161220000031 |
| Entity Name | First Care Family Medicine-mena Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619410040 PECOS PAC ID: 3375804784 Enrollment ID: O20180228000200 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Davis, APRN Po Box 1848, Mena, AR 71953-1841 Ph: (888) 710-8220 | Samantha Davis, APRN 2323 N Highway 229 Ste B, Haskell, AR 72015-7244 Ph: (888) 710-8220 |