Paul Vellozo, MD | |
1309 West Main St, Family Medical Center, Walnut Ridge, AR 72476-0839 | |
(870) 886-3211 | |
(870) 886-9027 |
Full Name | Paul Vellozo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 1309 West Main St, Walnut Ridge, 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 |
---|---|---|---|
1386744274 | NPI | - | NPPES |
128860001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | E0629 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence Memorial Hospital | Walnut ridge, AR | Hospital |
St Bernards Medical Center | Jonesboro, AR | Hospital |
Lawrence Hall Health & Rehabilitation | Walnut ridge, AR | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Bernards Hospital Inc. | 0941105480 | 150 |
Lawrence Memorial Health Foundation Inc | 9436305836 | 8 |
Entity Name | St Bernards Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336150374 PECOS PAC ID: 0941105480 Enrollment ID: O20050121000843 |
Entity Name | St Bernards Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1518327287 PECOS PAC ID: 0941105480 Enrollment ID: O20070718000531 |
Entity Name | Lawrence Hall Nursing Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649343195 PECOS PAC ID: 8921253394 Enrollment ID: O20131119000157 |
Entity Name | St Bernards Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891178828 PECOS PAC ID: 0941105480 Enrollment ID: O20150824001158 |
Entity Name | Lawrence Memorial Health Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528052107 PECOS PAC ID: 9436305836 Enrollment ID: O20191029002135 |
Entity Name | Lawrence Memorial Health Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962626770 PECOS PAC ID: 9436305836 Enrollment ID: O20191030002298 |
Mailing Address | Practice Location Address |
---|---|
Paul Vellozo, MD Po Box 839, Walnut Ridge, AR 72476-0839 Ph: (870) 886-3211 | Paul Vellozo, MD 1309 West Main St, Family Medical Center, Walnut Ridge, AR 72476-0839 Ph: (870) 886-3211 |
Mrs. Samantha L. Hatfield, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 West Main Street, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 |