Dr Altimus Ray Bollen, MD | |
1002 Schneider Dr, Suite 104, Malvern, AR 72104-4816 | |
(501) 337-9066 | |
(501) 332-5265 |
Full Name | Dr Altimus Ray Bollen |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 44 Years |
Location | 1002 Schneider Dr, Malvern, 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 |
---|---|---|---|
1720054125 | NPI | - | NPPES |
P00046 | Other | AR | NOVASYS |
5401027 | Other | AR | AETNA |
102657001 | Medicaid | AR | |
12692000000 | Other | AR | QUALCHOICE |
9292900 | Other | AR | CIGNA |
277387 | Other | AR | HEALTHLINK |
MG38450 | Other | AR | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C6072 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Medical Center-hot Springs County | Malvern, AR | Hospital |
St Vincent Hot Springs | Hot springs, AR | Hospital |
Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baptist Health | 0648177949 | 76 |
Baptist Medcare Inc | 5698667624 | 48 |
Entity Name | Baptist Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578593067 PECOS PAC ID: 0648177949 Enrollment ID: O20031215000977 |
Entity Name | Baptist Medcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699868323 PECOS PAC ID: 5698667624 Enrollment ID: O20040325001348 |
Entity Name | Arkansas Health Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356319511 PECOS PAC ID: 7911802079 Enrollment ID: O20080308000125 |
Entity Name | Baptist Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780094201 PECOS PAC ID: 0648177949 Enrollment ID: O20141030001538 |
Entity Name | Baptist Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427630110 PECOS PAC ID: 0648177949 Enrollment ID: O20210504000413 |
Mailing Address | Practice Location Address |
---|---|
Dr Altimus Ray Bollen, MD 11001 Executive Center Dr, Suite 200, Little Rock, AR 72211-4316 Ph: (501) 812-7587 | Dr Altimus Ray Bollen, MD 1002 Schneider Dr, Suite 104, Malvern, AR 72104-4816 Ph: (501) 337-9066 |
Absalom H Tilley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1003 Schneider Dr, Malvern, AR 72104 Phone: 501-337-5678 Fax: 501-332-6759 | |
Jeffery Mack, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Schneider Dr, Malvern, AR 72104 Phone: 501-851-7402 Fax: 501-851-4753 | |
Dr. Bruce Kent Burton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2223 Grant St, Malvern, AR 72104 Phone: 501-337-9031 Fax: 501-337-9033 |