Amy J S Daiber OD PA
A Medicare group practice based in Dardanelle, AR: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032164017), with 2 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9032164017
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- AR
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20051103001212 | AR | Part B Supplier - Clinic/Group Practice | 1669512943 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Russellville, AR1
- Dardanelle, AR1
Clinicians 2
Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).
-
Lori J Canfield, OD
- Optometrist
- Russellville, AR
- NPI 1083752570
-
Amy Jeanine Daiber, OD
- Optometrist
- Russellville, AR
- NPI 1609926344
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.