Scarbrough Clinic, Inc. is a medicare enrolled "Nurse Practitioner - Family" provider in Wynne, Arkansas. Their current practice location is
1901 Killough Rd. North, Wynne, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(870) 238-8707.
Scarbrough Clinic, Inc. is licensed to practice in Arkansas (license number P01329) and it also participates in the medicare program. Scarbrough Clinic, Inc.
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 1386743482.
Healthcare Provider's Profile
Full Name | Scarbrough Clinic, Inc. |
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Type | Facility |
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Speciality | Nurse Practitioner - Family |
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Location | 1901 Killough Rd. North, Wynne, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386743482
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 12/13/2021
Medicare PECOS Information:
- PECOS PAC ID: 8527242429
- Enrollment ID: O20110418000123
Medical Identifiers
Medical identifiers for Scarbrough Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386743482 | NPI | - | NPPES |
647764 | Other | AR | UNITED HEALTHCARE ID # |
158844718 | Medicaid | AR | |
19754000040 | Other | AR | QUALCHOICE ID NUMBER |
7359415 | Other | AR | AETNA ID NUMBER |
3821243 | Other | AR | CIGNA ID NUMBER |
5U931 | Other | AR | AR BLUECROSSBLUESHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 1544 (Arkansas) | Secondary |
164W00000X | Licensed Practical Nurse | P01329 (Arkansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | P01329 (Arkansas) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Scarbrough Clinic, Inc. acts as a billing entity for following providers:
Provider Name | Tad Ray Scarbrough |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1144295833 PECOS PAC ID: 2365330016 Enrollment ID: I20040305000435 |
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Provider Name | Tad Ray Scarbrough |
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Provider Type | Practitioner - Nurse Practitioner |
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Provider Identifiers | NPI Number: 1144295833 PECOS PAC ID: 2365330016 Enrollment ID: I20211108002168 |
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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. Scarbrough Clinic, Inc. 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 |
Scarbrough Clinic, Inc. Po Box 572, Wynne, AR 72396-0572 Ph: (870) 238-8707 | Scarbrough Clinic, Inc. 1901 Killough Rd. North, Wynne, AR 72396-2465 Ph: (870) 238-8707 |
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