Kevin Henderson O'sullivan, MD | |
1307 Trinity Blvd, Texarkana, AR 71854-8310 | |
(870) 773-6467 | |
(870) 216-0061 |
Full Name | Kevin Henderson O'sullivan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 1307 Trinity Blvd, Texarkana, 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 |
---|---|---|---|
1922492859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-11617 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heritage Home Health | Texarkana, TX | Home health agency |
Onesource Home Care Inc | Longview, TX | Home health agency |
Dierksen Memorial Hospice | Texarkana, AR | Hospice |
Christus St Michael Health System | Texarkana, TX | Hospital |
Wadley Regional Medical Center | Texarkana, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Collom And Carney Clinic Association | 1355249541 | 94 |
Collom And Carney Clinic Association | 1355249541 | 94 |
Entity Name | Collom & Carney Clinic Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740262732 PECOS PAC ID: 1355249541 Enrollment ID: O20040721000534 |
Entity Name | Permian Premier Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20191011000337 |
Mailing Address | Practice Location Address |
---|---|
Kevin Henderson O'sullivan, MD 1307 Trinity Blvd, Texarkana, AR 71854-8310 Ph: (870) 779-6093 | Kevin Henderson O'sullivan, MD 1307 Trinity Blvd, Texarkana, AR 71854-8310 Ph: (870) 773-6467 |
Autumn Misha Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3417 U Of A Way, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6050 | |
Dr. Kyle I Diaz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6093 | |
Dr. Sangeeth Jonathan Samuel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2109 White Oak Ln, Texarkana, AR 71854 Phone: 501-664-6809 | |
Dr. Matthew Wayne Nix, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6119 | |
Shanna Leigh Spence, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 E 6th St, Texarkana, AR 71854 Phone: 870-779-6004 Fax: 870-779-6100 | |
Kenneth George Ross, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3417 U Of A Way, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6055 | |
Daniel Morgan Tucker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 600 E 6th St, Texarkana, AR 71854 Phone: 870-779-6000 Fax: 870-779-6093 |