| Tony D Chism, | |
|
934 N Gaskill, Huntsville, AR 72740-1319 | |
| (479) 738-5500 | |
| (479) 738-1350 |
| Full Name | Tony D Chism |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 934 N Gaskill, Huntsville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699360297 | NPI | - | NPPES |
| 271128758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 214796 (Arkansas) | Primary |
| Entity Name | Texarkana Behavioral Associates Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467483677 PECOS PAC ID: 9436062379 Enrollment ID: O20040223000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Tony D Chism, Po Box 1060, Marshall, AR 72650-1060 Ph: (870) 448-5733 | Tony D Chism, 934 N Gaskill, Huntsville, AR 72740-1319 Ph: (479) 738-5500 |
Caitlin Bailey Carter, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 N Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 | |
Mrs. Gina Ann Dickey, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Phillips Place, Huntsville, AR 72740 Phone: 479-738-1700 | |
Skyler Levere Arnold, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 N Gaskill, Huntsville, AR 72740 Phone: 479-738-5500 Fax: 479-738-1350 | |
Jason Cole Jackson, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 N Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 | |
Victoria Marie Deal, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 N Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 | |
Mr. John Allen Hutchcroft, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Phillips Pl, Huntsville, AR 72740 Phone: 479-927-3100 | |
Julie Anne Calvery-carman, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 934 N Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 Fax: 479-738-1350 |