| Fayetteville Podiatry | |
|
509 E Millsap Rd, Ste. 101, Fayetteville, AR 72703-4067 | |
| (479) 587-0171 | |
| (479) 587-0885 |
| Full Name | Fayetteville Podiatry |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 509 E Millsap Rd, Fayetteville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073727756 | NPI | - | NPPES |
| 5843039 | Other | AETNA | |
| 387675 | Other | HEALTHLINK | |
| 119165717 | Medicaid | AR | |
| 15934000000 | Other | AR | QUALCHOICE OF ARKANSAS |
| 56240 | Other | AR | CHAMPUS |
| 148124748 | Medicaid | AR | |
| 56240 | Other | AR | BC/BS |
| 2720061 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 116 (Arkansas) | Primary |
| 213E00000X | Podiatrist | 172 (Oklahoma) | Secondary |
| 213E00000X | Podiatrist | 0902 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Podiatry Po Box 1705, Fayetteville, AR 72702-1705 Ph: (479) 587-0171 | Fayetteville Podiatry 509 E Millsap Rd, Ste. 101, Fayetteville, AR 72703-4067 Ph: (479) 587-0171 |
Dr. Phetsamone Peter Xaysanasy, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 125 W Sunbridge Dr, Suite 1, Fayetteville, AR 72703 Phone: 479-251-9200 | |
Dr. Robert B Trovillion, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 350 E Millsap Rd, Fayetteville, AR 72703 Phone: 479-521-7850 Fax: 479-442-4779 | |
Mana Foot & Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-435-2400 Fax: 479-582-7329 | |
Dr. Daniel C Fulmer, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2828 E Millennium Pl, Suite 2, Fayetteville, AR 72703 Phone: 479-582-1199 Fax: 479-582-1194 | |
Dr. Sara Mccoy, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301 | |
Nwa Podiatry Center Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 125 W Sunbridge Dr, Suite 1, Fayetteville, AR 72703 Phone: 479-251-9200 |