Brock Harrison Wrinkles, PA is a
Family Medicine - Addiction Medicine based in Hot Springs, Arkansas. Brock Harrison Wrinkles is licensed to practice in Arkansas (license number PA-720) and his current practice location is
1801 Central Ave Ste A, Hot Springs, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(501) 623-5598.
NPI number for Brock Harrison Wrinkles is 1558809475 and his current mailing address is 6 Trent Jones Cv, Sherwood, Arkansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558809475.
Provider's Profile
| Full Name | Brock Harrison Wrinkles |
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| Gender | Male |
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| Speciality | Family Medicine - Addiction Medicine |
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| Location | 1801 Central Ave Ste A, Hot Springs, Arkansas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558809475
- Provider Enumeration Date: 02/11/2017
- Last Update Date: 03/21/2023
Medical Identifiers
Medical identifiers for Brock Harrison Wrinkles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558809475 | NPI | - | NPPES |
| 1139067 | Other | | NCCPA |
| PA-720 | Other | AR | ARKANSAS STATE MEDICAL BOARD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PT2017-010 (Arkansas) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | PA-720 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brock Harrison Wrinkles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brock Harrison Wrinkles, PA
6 Trent Jones Cv,
Sherwood, AR 72120-4611
Ph: (501) 599-8400 | Brock Harrison Wrinkles, PA
1801 Central Ave Ste A,
Hot Springs, AR 71901-6800
Ph: (501) 623-5598 |
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