| Wendy A Gaston, APN | |
|
9755 W State Highway 22, Ratcliff, AR 72951-9000 | |
| (479) 369-2091 | |
| (479) 369-4119 |
| Full Name | Wendy A Gaston |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 9755 W State Highway 22, Ratcliff, 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 |
|---|---|---|---|
| 1548204654 | NPI | - | NPPES |
| 157718758 | Medicaid | AR | |
| 771007858 | Other | AR | ARKANSAS BREAST CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A01804 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Valley Primary Care Services | 0042274276 | 36 |
| Fands Physical Therapy, Inc | 7810898459 | 145 |
| Entity Name | River Valley Primary Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952349003 PECOS PAC ID: 0042274276 Enrollment ID: O20050503001398 |
| Entity Name | Shipley & Sills Family Practice Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104105972 PECOS PAC ID: 3870751969 Enrollment ID: O20120221000432 |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy A Gaston, APN 4003 Massard, Fort Smith, AR 72903 Ph: (479) 226-3836 | Wendy A Gaston, APN 9755 W State Highway 22, Ratcliff, AR 72951-9000 Ph: (479) 369-2091 |
Mrs. Theodora L Short, ADVANCED PRACTICE NU Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9755 W. State Highway 22, Ratcliff, AR 72951 Phone: 479-635-5300 Fax: 479-635-2010 | |
Dr. Colleen Jane Atchley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 W State Highway 22, Ratcliff, AR 72951 Phone: 479-431-2050 Fax: 479-431-2051 | |
Peggy Rosson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 W State Highway 22, Ratcliff, AR 72951 Phone: 479-431-2050 Fax: 479-431-2051 | |
Mrs. April Revis, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9755 West State Hwy 22, Ratcliff, AR 72951 Phone: 479-635-5300 Fax: 479-635-2010 |