Paul Rust Inc. - Medicare Mental Health Clinic in Fort Smith, AR

Paul Rust Inc. is a medicare enrolled mental health clinic (Social Worker - Clinical) in Fort Smith, Arkansas. The current practice location for Paul Rust Inc. is 5111 Rogers Ave., Suite 504, Fort Smith, Arkansas. For appointments, you can reach them via phone at (479) 484-1111. The mailing address for Paul Rust Inc. is 5111 Rogers Ave., Suite 504, Fort Smith, Arkansas and phone number is (479) 484-1111.

Paul Rust Inc. is licensed to practice in Arkansas (license number C237). The clinic also participates in the medicare program and its NPI number is 1184657108. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (479) 484-1111.

Contact Information

Paul Rust Inc.
5111 Rogers Ave.
Suite 504
Fort Smith
AR 72903
(479) 484-1111
(479) 484-1111

Mental Health Clinic Profile

Full NamePaul Rust Inc.
SpecialitySocial Worker
Location5111 Rogers Ave., Fort Smith, Arkansas
Authorized Official Name and PositionPaul Wesley Rust (PRESIDENT/OWNER)
Authorized Official Contact4794841111
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Rust Inc.
5111 Rogers Ave.
Suite 504
Fort Smith
AR 72903

Ph: (479) 484-1111
Paul Rust Inc.
5111 Rogers Ave.
Suite 504
Fort Smith
AR 72903

Ph: (479) 484-1111

NPI Details:

NPI Number1184657108
Provider Enumeration Date07/10/2006
Last Update Date08/25/2008

Medicare PECOS Information:

Medicare PECOS PAC ID1355416256
Medicare Enrollment IDO20080812000238

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Medical Identifiers

Medical identifiers for Paul Rust Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184657108NPI-NPPES
5G027OtherARMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C237 (Arkansas)Primary
106H00000XMarriage & Family Therapist M9803014 (Arkansas)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Paul Rust Inc. acts as a billing entity for following providers:
Provider NamePaul W Rust
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1871750950
PECOS PAC ID: 1951345545
Enrollment ID: I20050614001419

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