Dr John Kenneth Phillips, MD | |
3024 Stadium Blvd, Jonesboro, AR 72401-7415 | |
(870) 934-5113 | |
(870) 392-3608 |
Full Name | Dr John Kenneth Phillips |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3024 Stadium Blvd, Jonesboro, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518961580 | NPI | - | NPPES |
208891804 | Medicaid | MO | |
129236001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E0129 (Arkansas) | Primary |
Entity Name | Paragould Radiology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790350577 PECOS PAC ID: 6103227525 Enrollment ID: O20210623001194 |
Mailing Address | Practice Location Address |
---|---|
Dr John Kenneth Phillips, MD Po Box 1960, Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-8000 | Dr John Kenneth Phillips, MD 3024 Stadium Blvd, Jonesboro, AR 72401-7415 Ph: (870) 934-5113 |
Dr. Richard E Person, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-933-0863 | |
Dana Jo Coker, Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Dr. John William Allgood Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-4510 Fax: 870-972-4444 | |
Adam Patrick Cabell, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 S Church St, Suite 101, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Dr. Seth Andrew Little, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Cade Martin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-910-6654 Fax: 870-932-0526 | |
Brooke Willows, MD Radiology Medicare: Medicare Enrolled Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-8177 |