Dr Phetsamone Peter Xaysanasy, DPM - Podiatrist in Fayetteville, AR

Dr Phetsamone Peter Xaysanasy, DPM is a Podiatrist based in Fayetteville, Arkansas. Dr Phetsamone Peter Xaysanasy is licensed to practice in Arkansas (license number 193) and his current practice location is 125 W Sunbridge Dr, Suite 1, Fayetteville, Arkansas. He can be reached at his office (for appointments etc.) via phone at (479) 251-9200.

NPI number for Dr Phetsamone Peter Xaysanasy is 1063456184 and his current mailing address is 125 W Sunbridge Dr, Suite 1, Fayetteville, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063456184.

Contact Information

Dr Phetsamone Peter Xaysanasy, DPM
125 W Sunbridge Dr, Suite 1,
Fayetteville, AR 72703-1899
(479) 251-9200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Phetsamone Peter Xaysanasy
GenderMale
SpecialityPodiatrist
Location125 W Sunbridge Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063456184
  • Provider Enumeration Date: 06/16/2006
  • Last Update Date: 01/03/2011

Medical Identifiers

Medical identifiers for Dr Phetsamone Peter Xaysanasy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063456184NPI-NPPES
14086717MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 193 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Phetsamone Peter Xaysanasy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Phetsamone Peter Xaysanasy, DPM
125 W Sunbridge Dr, Suite 1,
Fayetteville, AR 72703-1899

Ph: (479) 251-9200
Dr Phetsamone Peter Xaysanasy, DPM
125 W Sunbridge Dr, Suite 1,
Fayetteville, AR 72703-1899

Ph: (479) 251-9200

Reviews and Comments


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