| Embrace Fmo | |
|
1502 Se 28th St Ste 2 Bentonville AR 72712-0076 | |
| (479) 268-4774 | |
| (479) 268-3451 |
| Full Name | Embrace Fmo |
|---|---|
| Speciality | Family Medicine |
| Location | 1502 Se 28th St Ste 2, Bentonville, Arkansas |
| Authorized Official Name and Position | Jennifer Schroeder (PRESIDENT) |
| Authorized Official Contact | 4796162741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Fmo 1502 Se 28th St Ste 2 Bentonville AR 72712-0076 Ph: (479) 268-4774 | Embrace Fmo 1502 Se 28th St Ste 2 Bentonville AR 72712-0076 Ph: (479) 268-4774 |
| NPI Number | 1417554015 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/19/2022 |
| Medicare PECOS PAC ID | 8628488491 |
|---|---|
| Medicare Enrollment ID | O20201105001955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417554015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |
| Provider Name | Jennifer Ann Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134126600 PECOS PAC ID: 8022921436 Enrollment ID: I20081004000074 |
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