Jack Andrew Coleman Jr, MD is a
Otolaryngology physician based in Siloam Springs, Arkansas. Jack Andrew Coleman Jr is licensed to practice in Tennessee (license number MD16783) and his current practice location is 1101-3 N. Progress Ave., Siloam Springs, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 549-4055.
NPI number for Jack Andrew Coleman Jr is 1699764258 and his current mailing address is 1101-3 N. Progress Ave., Siloam Springs, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699764258.
Physician's Profile
Full Name | Jack Andrew Coleman Jr |
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Gender | Male |
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Speciality | Otolaryngology |
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Location | 1101-3 N. Progress Ave., Siloam Springs, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699764258
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 05/20/2013
Medical Identifiers
Medical identifiers for Jack Andrew Coleman Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699764258 | NPI | - | NPPES |
3017988 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | MD16783 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Andrew Coleman Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jack Andrew Coleman Jr, MD 1101-3 N. Progress Ave., Siloam Springs, AR 72761-4343 Ph: (479) 549-4055 | Jack Andrew Coleman Jr, MD 1101-3 N. Progress Ave., Siloam Springs, AR 72761-4343 Ph: (479) 549-4055 |
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