Ross Lenzen, | |
200 N 3rd St Ste 1, Dardanelle, AR 72834-3802 | |
(479) 229-6191 | |
(479) 229-6194 |
Full Name | Ross Lenzen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 4 Years |
Location | 200 N 3rd St Ste 1, Dardanelle, Arkansas |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497376453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E15200 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dardanelle Hospital | Dardanelle, AR | Hospital |
Conway Regional Health System | Conway, AR | Hospital |
St Marys Regional Medical Center | Russellville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dardanelle Regional Llc | 0345576500 | 3 |
Conway Regional Medical Center Inc | 3173428414 | 131 |
Entity Name | Conway Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841200417 PECOS PAC ID: 3173428414 Enrollment ID: O20040605000199 |
Entity Name | Arkansas Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
Entity Name | Hospital Care Consultants Of Fordyce Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
Entity Name | Ess Of Fordyce Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
Entity Name | Hcc Of Warren Hospitalist, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326641606 PECOS PAC ID: 5698189280 Enrollment ID: O20210121002187 |
Entity Name | Hcc Of Warren Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952904237 PECOS PAC ID: 6406260371 Enrollment ID: O20210204001426 |
Entity Name | Dardanelle Regional Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730737131 PECOS PAC ID: 0345576500 Enrollment ID: O20230711000936 |
Mailing Address | Practice Location Address |
---|---|
Ross Lenzen, 200 N 3rd St Ste 1, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 | Ross Lenzen, 200 N 3rd St Ste 1, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 |
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 | |
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 |