Phillip Thomas Gullic, MD | |
2180 Ada Avenue, Suite 300, Conway, AR 72034-7203 | |
(501) 327-6547 | |
(501) 327-9715 |
Full Name | Phillip Thomas Gullic |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 30 Years |
Location | 2180 Ada Avenue, Conway, 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 |
---|---|---|---|
1285606020 | NPI | - | NPPES |
134193001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | E 1631 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Regional Health System | Conway, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conway Ob-gyn Clinic Pa | 9931184280 | 6 |
Entity Name | Conway Ob-gyn Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235198045 PECOS PAC ID: 9931184280 Enrollment ID: O20040621001432 |
Entity Name | Mercy Health Northwest Arkansas Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454 |
Entity Name | White County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
Mailing Address | Practice Location Address |
---|---|
Phillip Thomas Gullic, MD 2519 College Avenue, Conway, AR 72034-6135 Ph: (501) 327-6547 | Phillip Thomas Gullic, MD 2180 Ada Avenue, Suite 300, Conway, AR 72034-7203 Ph: (501) 327-6547 |
Keitha Dewitt Holland, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2180 Ada Avenue, Suite 300, Conway, AR 72034 Phone: 501-327-6547 Fax: 501-327-3478 | |
Paul Lewis Mcchristian, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2519 College Ave, Conway, AR 72034 Phone: 501-327-6547 Fax: 501-327-9715 | |
Dr. Brandie Mcnabb Martin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2519 College Ave, Conway, AR 72034 Phone: 501-450-3920 Fax: 501-450-7718 | |
Dr. Debra C Lawrence, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2519 College Ave, Conway, AR 72034 Phone: 501-450-3920 Fax: 501-450-7718 | |
Audrey Tobey, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 625 United Dr Ste 420, Conway, AR 72032 Phone: 501-358-6941 | |
Andrew Axley Cole, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2180 Ada Avenue, Suite 300, Conway, AR 72034 Phone: 501-327-6547 Fax: 501-327-9715 |