Jerry F Hodges, MD | |
215 N 4th St, Dardanelle, AR 72834-3713 | |
(479) 229-2827 | |
(479) 229-5749 |
Full Name | Jerry F Hodges |
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Gender | Male |
Speciality | Family Medicine |
Location | 215 N 4th St, Dardanelle, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194757849 | NPI | - | NPPES |
106616001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | C5406 (Arkansas) | Secondary |
207Q00000X | Family Medicine | C5406 (Arkansas) | Primary |
Entity Name | River Valley Medical Center Family Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245437490 PECOS PAC ID: 1759464035 Enrollment ID: O20080208000579 |
Mailing Address | Practice Location Address |
---|---|
Jerry F Hodges, MD Po Box 637, Dardanelle, AR 72834-0637 Ph: (479) 229-2827 | Jerry F Hodges, MD 215 N 4th St, Dardanelle, AR 72834-3713 Ph: (479) 229-2827 |
Matthew Self, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-6167 | |
Allan K Kirkland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-229-8000 Fax: 479-477-3924 | |
Hailey C Farris, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Ross Lenzen, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 N 3rd St Ste 1, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Breanna Harris, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3098 |