Priscilla Alice Wacaster (NPI# 1366648511, PAC ID# 2961795851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1366648511 |
PAC ID by PECOS | 2961795851 |
Professional Enrollment ID | I20170627002496 |
Full Name | Priscilla Alice Wacaster |
Organization Legal Name | ARKANSAS REHABILITATION SERVICES |
Address |
105 Reserve Ave Hot Springs AR 71902-1358 |
Phone Number | 5017016571 |
Gender | F |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 1992 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 9931141421 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
105 Reserve Ave, Hot Springs, AR 71902-1358 | 5017016571 | ARKANSAS REHABILITATION SERVICES |
Organization Legal Name | ARKANSAS REHABILITATION SERVICES |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael Kelley Brinson | Family Practice | Arkansas Rehabilitation Services | 105 Reserve St, Hot Springs National Park, AR 71901-4195 |
Street Address |
105 RESERVE AVE |
City | HOT SPRINGS |
State | AR |
Zip | 71902-1358 |
City | HOT SPRINGS |
Zip Code | 71902 |
Specialty | FAMILY PRACTICE |
City + Specialty | HOT SPRINGS + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.