Premier Dermatology Services PLLC
NPI 1154117463ActiveOrganization· Dermatology· Bentonville, AR
Dermatology in Bentonville, Arkansas, registered in NPPES in April 2025. The authorized official on file is Sara Fast, Practice Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154117463 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 15, 2025 |
| Last updated in NPPES | Jun 24, 2026 |
| Certified by provider | Jun 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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