Dr Benjamin M Dodge, MD | |
550club Lane, Suite 1, Conway, AR 72034-3681 | |
(501) 329-1510 | |
(501) 329-5697 |
Full Name | Dr Benjamin M Dodge |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 550club Lane, Conway, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922090471 | NPI | - | NPPES |
123211001 | Medicaid | AR | |
12593000000 | Other | AR | QUALCHOICE |
200016131 | Other | AR | RR MEDICARE |
5J081 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | C7472 (Arkansas) | Primary |
Entity Name | South Arkansas Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427018704 PECOS PAC ID: 0749273670 Enrollment ID: O20040406001623 |
Mailing Address | Practice Location Address |
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Dr Benjamin M Dodge, MD 550 Club Ln, Suite 1, Conway, AR 72034-3681 Ph: (501) 329-1510 | Dr Benjamin M Dodge, MD 550club Lane, Suite 1, Conway, AR 72034-3681 Ph: (501) 329-1510 |
Dr. Bryan T Head, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 550 Club Ln Ste 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 | |
Mr. Robert F Mccarron, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Lane, Suite 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 | |
Dr. James T Howell Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Lane, Suite 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-327-2495 | |
Austin Axley Cole, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 550 Club Ln, Conway, AR 72034 Phone: 501-329-1510 | |
Dr. Harry Scott Smith, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Lane, Suite 1, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 | |
James Head, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Club Ln, Conway, AR 72034 Phone: 501-329-1510 Fax: 501-329-5697 | |
Dr. David Michael Arnold, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2425 Dave Ward Dr, Suite 201, Conway, AR 72034 Phone: 501-329-7246 Fax: 501-329-3900 |