Haeden Nicole Waymack, - Medicare Physician Assistant in Fayetteville, AR

Haeden Nicole Waymack, is a medicare enrolled "Physician Assistant" physician in Fayetteville, Arkansas. Her current practice location is 3317 N Wimberly Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 521-2752.

Haeden Nicole Waymack is licensed to practice in Arkansas (license number PA-1138) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255042347.

Contact Information

Haeden Nicole Waymack,
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056
(479) 521-2752
(479) 521-4603



Physician's Profile

Full NameHaeden Nicole Waymack
GenderFemale
SpecialityPhysician Assistant
Location3317 N Wimberly Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255042347
  • Provider Enumeration Date: 12/08/2022
  • Last Update Date: 03/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668841347
  • Enrollment ID: I20221220001909

Medical Identifiers

Medical identifiers for Haeden Nicole Waymack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255042347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery PA-1138 (Arkansas)Secondary
363A00000XPhysician Assistant PA-1138 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haeden Nicole Waymack is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Haeden Nicole Waymack,
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056

Ph: (479) 521-2752
Haeden Nicole Waymack,
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056

Ph: (479) 521-2752

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