Mainline Dermott Medical Clinic is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Dermott, Arkansas. The current practice location for Mainline Dermott Medical Clinic is 300 S School St, Dermott, Arkansas. For appointments, you can reach them via phone at (870) 538-5296. The mailing address for Mainline Dermott Medical Clinic is Po Box 509, Dermott, Arkansas and phone number is (870) 942-3000.
Mainline Dermott Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386758043. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (870) 538-5296.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Mainline Dermott Medical Clinic Po Box 509 Dermott AR 71638-0509 Ph: (870) 942-3000
Mainline Dermott Medical Clinic 300 S School St Dermott AR 71638-2228 Ph: (870) 538-5296
NPI Details:
NPI Number
1386758043
Provider Enumeration Date
08/19/2006
Last Update Date
09/18/2024
Certification Date
09/18/2024
Medicare PECOS Information:
Medicare PECOS PAC ID
5193785590
Medicare Enrollment ID
O20080324000149
Medical Identifiers
Medical identifiers for Mainline Dermott Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1386758043
NPI
-
NPPES
122645749
Medicaid
AR
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
103TB0200X
Psychologist - Cognitive & Behavioral
(* (Not Available))
Secondary
261QF0400X
Clinic/center - Federally Qualified Health Center (fqhc)
(* (Not Available))
Primary
Reviews and Comments
Clinic/Center in Dermott, AR
Dermott School Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 525 E Speedway St, Dermott, AR 71638 Phone: 870-538-3355 Fax: 855-811-4203