Ark-la-tex Health Center is a medicare enrolled "Family Medicine" provider in Texarkana, Arkansas. Their current practice location is
1414 Arkansas Blvd, Texarkana, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(870) 773-7246.
Ark-la-tex Health Center is licensed to practice in Arkansas (license number N8393) and it also participates in the medicare program. Ark-la-tex Health Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1649237165.
Healthcare Provider's Profile
| Full Name | Ark-la-tex Health Center |
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| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 1414 Arkansas Blvd, Texarkana, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649237165
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 10/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618862855
- Enrollment ID: O20040217001048
Medical Identifiers
Medical identifiers for Ark-la-tex Health Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649237165 | NPI | - | NPPES |
| 152398002 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1141 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | N8393 (Arkansas) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | A01334 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AO3679 (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.
Ark-la-tex Health Center acts as a billing entity for following providers:
| Provider Name | James D Raker |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1932103892
PECOS PAC ID: 9436044583
Enrollment ID: I20080408000739 |
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| Provider Name | Matthew Wayne Brandon |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1194115691
PECOS PAC ID: 6709795966
Enrollment ID: I20150325002374 |
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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. Ark-la-tex Health Center 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 Address | Practice Location Address |
|---|
Ark-la-tex Health Center
1414 Arkansas Blvd,
Texarkana, AR 71854-1604
Ph: (870) 773-7246 | Ark-la-tex Health Center
1414 Arkansas Blvd,
Texarkana, AR 71854-1604
Ph: (870) 773-7246 |
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