Dr Phillip J Suffridge, MD | |
3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 | |
(501) 778-1113 | |
(501) 778-5391 |
Full Name | Dr Phillip J Suffridge |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 26 Years |
Location | 3 Medical Park Dr, Benton, 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 |
---|---|---|---|
1730142530 | NPI | - | NPPES |
161592001 | Medicaid | AR | |
06040018300 | Other | AR | QUALCHOICE |
5N525 | Other | AR | BLUE CROSS BLUE SHIELD |
P00445226 | Other | AR | RAILROAD MEDICARE |
204462170 | Other | AR | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | E2274 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chambers Memorial Hospital | Danville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ophthalmology Associates Of Benton, Pllc | 3971685132 | 2 |
Entity Name | Ophthalmology Associates Of Benton, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699774794 PECOS PAC ID: 3971685132 Enrollment ID: O20080125000654 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip J Suffridge, MD 3 Medical Park Dr Ste 300, Benton, AR 72015-3726 Ph: (501) 778-1113 | Dr Phillip J Suffridge, MD 3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 Ph: (501) 778-1113 |
Dr. Annette M Enderlin, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Park Dr, Suite 300, Benton, AR 72015 Phone: 501-778-1113 Fax: 501-778-5391 | |
Dr. Alan W Hughes, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Park Dr, Suite 300, Benton, AR 72015 Phone: 501-778-1113 Fax: 501-778-5391 |