Dr Glen C Knowles, DO | |
203 West Main Street, Bradford, AR 72020 | |
(501) 344-2788 | |
(501) 344-8451 |
Full Name | Dr Glen C Knowles |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 203 West Main Street, Bradford, 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 |
---|---|---|---|
1679579536 | NPI | - | NPPES |
125773003 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E0193 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Stone County Medical Center | Mountain view, AR | Hospital |
White County Medical Center | Searcy, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
White County Medical Center | 4880688654 | 157 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410229 PECOS PAC ID: 0143134270 Enrollment ID: O20031203000615 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427149814 PECOS PAC ID: 0143134270 Enrollment ID: O20050406001290 |
Entity Name | Harris Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659608040 PECOS PAC ID: 2365584331 Enrollment ID: O20100129000011 |
Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578872297 PECOS PAC ID: 0143134270 Enrollment ID: O20110111000718 |
Entity Name | White County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
Entity Name | Baxter Regional Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154849065 PECOS PAC ID: 0941507677 Enrollment ID: O20160324000353 |
Entity Name | Izard County Medical Center Llc |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1881635993 PECOS PAC ID: 9739459215 Enrollment ID: O20180918002623 |
Mailing Address | Practice Location Address |
---|---|
Dr Glen C Knowles, DO Po Box 70, Bradford, AR 72020-0070 Ph: (501) 344-2788 | Dr Glen C Knowles, DO 203 West Main Street, Bradford, AR 72020 Ph: (501) 344-2788 |