2003 SE WALTON BLVD SUITE C
BENTONVILLE, AR 72712-3725 US PECOS Enrolled
Douglas Spencer Monson
Clinical Social Worker
- BENTONVILLE, AR
- Phone: (479)-464-8081
- Last Updated 7/8/2007
Overview
Douglas Spencer Monson is a Clinical Social Worker in the BENTONVILLE area. Douglas Spencer Monson primary office location is at 2003 SE WALTON BLVD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1104855527 and the information was updated approximately 17 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 004386 | MO |
| 1680-C | AR |
| Type/Issuer | Identifier | State |
|---|---|---|
| BLUE CROSS | 5S425 | AR |
| UNITED BEHAVIORAL ID # | 205071 | AR |
| QUALCHOICE | 06070012900 | AR |
| Taxonomy | State | Primary? |
|---|---|---|
| Clinical Social Worker - Taxonomy Code 1041C0700X | AR | Y |
| Clinical Social Worker - Taxonomy Code 1041C0700X | MO | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | - |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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