Debra Fairless (NPI# 1285805358, PAC ID# 7517039175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1285805358 |
PAC ID by PECOS | 7517039175 |
Professional Enrollment ID | I20080716000419 |
Full Name | Debra Fairless |
Organization Legal Name | OUACHITA FAMILY PRACTICE LLC |
Address |
1210 Dequeen St Mena AR 71953-4132 |
Phone Number | 4793945068 |
Gender | F |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4385705789 |
Number of Group Practice Members | 3 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
040015 | MENA REGIONAL HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
1210 Dequeen St, Mena, AR 71953-4132 | 4793945068 | OUACHITA FAMILY PRACTICE LLC |
Organization Legal Name | OUACHITA FAMILY PRACTICE LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lonnie Sessler | Family Medicine | Ouachita Family Practice LLC | 1210 Dequeen St, Mena, AR 71953-4132 |
Bill R Mccourtney Ii | Family Medicine | Ouachita Family Practice LLC | 1210 Dequeen St, Mena, AR 71953-4132 |
Street Address |
1210 DEQUEEN ST |
City | MENA |
State | AR |
Zip | 71953-4132 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lonnie Sessler | Family Medicine | Ouachita Family Practice LLC | 1210 Dequeen St, Mena, AR 71953-4132 |
Bill R Mccourtney Ii | Family Medicine | Ouachita Family Practice LLC | 1210 Dequeen St, Mena, AR 71953-4132 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karen A Perry | General Practice | 1690 Polk, Suite 67, Mena, AR 71953 | |
Clemit W Liles Iii | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
Clemit W Liles Jr. | Optometry | Med Southwest Pllc | 208 Morrow St S, Mena, AR 71953-2510 |
John Finck | Family Medicine | 209 N Morrow St, Mena, AR 71953-2514 | |
Jonathan C Welsh | Diagnostic Radiology | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
Shanna Leigh Hill Spence | Family Medicine | General Emergency Physicians Inc | 311 Morrow St N, Mena Regional Health System, Mena, AR 71953-2516 |
Pyke R Bobo | Certified Registered Nurse Anesthetist (crna) | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
Mary J Campbell | Certified Registered Nurse Anesthetist (crna) | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
David W Henderson | Emergency Medicine | Mena Hospital Commission | 311 N Morrow St, Mena, AR 71953-2516 |
Brent D Chavis | Family Medicine | General Emergency Physicians Inc | 311 Morrow St N, Mena Regional Health System, Mena, AR 71953-2516 |
Find all physicians in zip 71953 |
City | MENA |
Zip Code | 71953 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MENA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Debra Fairless.
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.