Dr Adalberto R Fonticiella, MD | |
1000 West Kingshighway, Suite 12, Paragould, AR 72450-8894 | |
(870) 236-6930 | |
(870) 239-8065 |
Full Name | Dr Adalberto R Fonticiella |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 43 Years |
Location | 1000 West Kingshighway, Paragould, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922088269 | NPI | - | NPPES |
157456002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | C-6766 (Arkansas) | Secondary |
207R00000X | Internal Medicine | C-6766 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arkansas Methodist Medical Center | Paragould, AR | Hospital |
Piggott Community Hospital | Piggott, AR | Hospital |
St Bernards Medical Center | Jonesboro, AR | Hospital |
Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arkansas Methodist Hospital Corporation | 6608780119 | 34 |
Entity Name | Fonticiella Medical Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649285511 PECOS PAC ID: 1850328691 Enrollment ID: O20050722000548 |
Entity Name | Arkansas Hospitalist Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679955868 PECOS PAC ID: 1658681838 Enrollment ID: O20151102000088 |
Entity Name | Arkansas Methodist Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205457405 PECOS PAC ID: 6608780119 Enrollment ID: O20200811000460 |
Mailing Address | Practice Location Address |
---|---|
Dr Adalberto R Fonticiella, MD 1000 W Kingshighway, Suite 12, Paragould, AR 72450-4141 Ph: (870) 236-6930 | Dr Adalberto R Fonticiella, MD 1000 West Kingshighway, Suite 12, Paragould, AR 72450-8894 Ph: (870) 236-6930 |
William T Dement, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2420 Linwood Dr, Paragould, AR 72450 Phone: 870-236-9756 Fax: 870-236-9356 |