Mr Taylor Jared Sites, PA-C - Medicare Physician Assistant in Fayetteville, AR

Mr Taylor Jared Sites, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Fayetteville, Arkansas. His current practice location is 3900 N Parkview Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 316-4785.

Mr Taylor Jared Sites is licensed to practice in Arkansas (license number PT2022-089) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154031987.

Contact Information

Mr Taylor Jared Sites, PA-C
3900 N Parkview Dr,
Fayetteville, AR 72703-6398
(479) 316-4785
(479) 966-4197



Provider's Profile

Full NameMr Taylor Jared Sites
GenderMale
SpecialityPhysician Assistant - Surgical
Location3900 N Parkview 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: 1154031987
  • Provider Enumeration Date: 12/02/2022
  • Last Update Date: 12/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345611521
  • Enrollment ID: I20230126000805

Medical Identifiers

Medical identifiers for Mr Taylor Jared Sites such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154031987NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PT2022-089 (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. Mr Taylor Jared Sites 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
Mr Taylor Jared Sites, PA-C
3900 N Parkview Dr,
Fayetteville, AR 72703-6398

Ph: (479) 316-4785
Mr Taylor Jared Sites, PA-C
3900 N Parkview Dr,
Fayetteville, AR 72703-6398

Ph: (479) 316-4785

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Physician Assistant Nurses in Fayetteville, AR

Kristin Salmon, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Savannah Hill, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Charles Earl Wall Jr., PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1100 N College Ave, Fayetteville, AR 72703
Phone: 479-443-4301    
Moorea Leigh Massa, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-463-3000    
Mr. Joseph D Cogan, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1100 N College Ave, Dept 116a, Fayetteville, AR 72703
Phone: 479-443-4301    Fax: 479-587-5951
Madalynn Potter,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3336 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-463-3000    
Ms. Anna Marie White, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1100 North College Avenue, Fayetteville, AR 72703
Phone: 479-443-4301    Fax: 479-587-5889

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