Keith Alan Ison, MD | |
101 Skyline Dr, Russellville, AR 72801-3363 | |
(479) 968-2345 | |
(479) 890-7194 |
Full Name | Keith Alan Ison |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 23 Years |
Location | 101 Skyline Dr, Russellville, 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 |
---|---|---|---|
1497711279 | NPI | - | NPPES |
155066001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E-4015 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Regional Medical Center | Russellville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Physician Services Llc | 4981698032 | 63 |
Entity Name | St Marys Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
Mailing Address | Practice Location Address |
---|---|
Keith Alan Ison, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 | Keith Alan Ison, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 |
Stephen C. Dobratz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 W Main St, Russellville, AR 72801 Phone: 479-968-4311 Fax: 479-968-4399 | |
James Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 | |
Kathryn I Parker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7194 | |
Abdul Hakeem, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 Fax: 479-964-5910 | |
Dr. Zoltan Varga, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 W Main St, Russellville, AR 72801 Phone: 479-968-4311 Fax: 479-968-4399 | |
Drew Courtney Heiple, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Skyline Dr, Russellville, AR 72801 Phone: 479-498-4661 Fax: 501-321-0710 | |
Sheharyar Ali, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2205 W Main St, Russellville, AR 72801 Phone: 479-968-4311 Fax: 479-968-4399 |