| Zoe Dehart Boshears, | |
|
1 Childrens Way # 512-3, Little Rock, AR 72202-3500 | |
| (501) 364-1100 | |
| (501) 364-4082 |
| Full Name | Zoe Dehart Boshears |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1 Childrens Way # 512-3, Little Rock, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962253088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1370 (Arkansas) | Primary |
| Entity Name | Arkansas Childrens Professional Services Organization LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629889464 PECOS PAC ID: 4688183148 Enrollment ID: O20250604004418 |
| Mailing Address | Practice Location Address |
|---|---|
| Zoe Dehart Boshears, 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100 | Zoe Dehart Boshears, 1 Childrens Way # 512-3, Little Rock, AR 72202-3500 Ph: (501) 364-1100 |
Braxton Nicole Peel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St # 772, Little Rock, AR 72205 Phone: 501-686-7211 |
Jessica Leigh Westbrook, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-664-5860 Fax: 501-664-0889 |
Mrs. Elaine Marie Thrash, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000 |
Haley Morgan Montgomery, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-7211 |
Katherine A Mccrady, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr Ste 860, Little Rock, AR 72205 Phone: 501-975-7455 Fax: 501-975-3631 |
Bryan Matthew Cearley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10001 Lile Dr, Little Rock, AR 72205 Phone: 501-552-0500 |
Caroline Lipe, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 10310 W Markham St Ste 100, Little Rock, AR 72205 Phone: 501-424-4738 |