- Medicare Primary Care in Magnolia, AR

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is a medicare enrolled primary clinic (Family Medicine) in Magnolia, Arkansas. The current practice location for is 1617 N Washington, Magnolia, Arkansas. For appointments, you can reach them via phone at (870) 234-7676. The mailing address for is Po Box 251420, Little Rock, Arkansas and phone number is (501) 686-8000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1750375895. 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) 234-7676.

Contact Information

1617 N Washington
Magnolia
AR 71753-2046
(870) 234-7676
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location1617 N Washington, Magnolia, Arkansas
Authorized Official Name and PositionAmanda George (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
Authorized Official Contact5016865670
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 251420
Little Rock
AR 72225-1420

Ph: (501) 686-8000
1617 N Washington
Magnolia
AR 71753-2046

Ph: (870) 234-7676

NPI Details:

NPI Number1750375895
Provider Enumeration Date09/05/2005
Last Update Date11/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4082528955
Medicare Enrollment IDO20031114000421

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750375895NPI-NPPES
303327002MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261QC1500XClinic/center - Community Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameBarbara Ann Porchia
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1427140920
PECOS PAC ID: 2062443948
Enrollment ID: I20050830001058
Provider NameStephen P King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144266727
PECOS PAC ID: 2062405020
Enrollment ID: I20060824000061
Provider NameFred Murphy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629181433
PECOS PAC ID: 5496844938
Enrollment ID: I20071211000264
Provider NameMichael J Weaver
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1235337049
PECOS PAC ID: 8820147614
Enrollment ID: I20090528000011
Provider NameHarvie Marks Attwood
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568407088
PECOS PAC ID: 8628112471
Enrollment ID: I20100218000113
Provider NameDonya Watson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396773735
PECOS PAC ID: 3779558374
Enrollment ID: I20100730000319
Provider NameMimo R Lemdja
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023283710
PECOS PAC ID: 5698890317
Enrollment ID: I20100917000171
Provider NameJulie N Wylie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932377256
PECOS PAC ID: 1456546803
Enrollment ID: I20101110001208
Provider NameAmy W Cross
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1013917905
PECOS PAC ID: 4688854904
Enrollment ID: I20110203000709
Provider NameAnil K Kopparapu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487897401
PECOS PAC ID: 5991956765
Enrollment ID: I20160601000872
Provider NameJessiela Venis Roberts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104168459
PECOS PAC ID: 7911218722
Enrollment ID: I20160812001374
Provider NameJoshua D O'mara
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457874703
PECOS PAC ID: 8628349198
Enrollment ID: I20170801002502
Provider NameNathan Probst
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508213984
PECOS PAC ID: 8527333251
Enrollment ID: I20171006000074
Provider NameWilliam Brainerd Ventres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932251006
PECOS PAC ID: 5395731509
Enrollment ID: I20171030001194
Provider NameBethany N Jennings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174028534
PECOS PAC ID: 4284989187
Enrollment ID: I20180618001952
Provider NameRayna B Penister
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619354818
PECOS PAC ID: 4981917101
Enrollment ID: I20181130002218
Provider NameTomekia S White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992192769
PECOS PAC ID: 8628398393
Enrollment ID: I20190628000843
Provider NameAmber Norris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659806008
PECOS PAC ID: 6709201288
Enrollment ID: I20200730002437
Provider NamePavana Tirumanisetti
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083920086
PECOS PAC ID: 5395975213
Enrollment ID: I20200928002555
Provider NameBlake Williams Plyler
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1528599834
PECOS PAC ID: 9830467984
Enrollment ID: I20210719000212
Provider NameSarah K Passarello
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1083068134
PECOS PAC ID: 5294027538
Enrollment ID: I20210816002367
Provider NameRachel A Wingfield
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1053046219
PECOS PAC ID: 2062880321
Enrollment ID: I20221117003558
Provider NameHaley M Quintana
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083231807
PECOS PAC ID: 7113396177
Enrollment ID: I20221214000121
Provider NameFernando Rafael Padilla Chacon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902053556
PECOS PAC ID: 0345559191
Enrollment ID: I20230125000132
Provider NameConstance Leeann Farris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215222336
PECOS PAC ID: 6901250257
Enrollment ID: I20230920004115
Provider NameAngela D Haynes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376996710
PECOS PAC ID: 9436444130
Enrollment ID: I20240426002009
Provider NameMichael G Page
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255913992
PECOS PAC ID: 4688073679
Enrollment ID: I20240709000291
Provider NameMelissa B Hanish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679914154
PECOS PAC ID: 9830197326
Enrollment ID: I20240725003571

Reviews and Comments


Family Medicine in Magnolia, AR

Fred Y Murphy Md Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1010 N Dudney Rd, Ste C, Magnolia, AR 71753
Phone: 870-234-7101    Fax: 870-234-7717

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 100 E University, Suite 215, Magnolia, AR 71753
Phone: 870-235-5237    Fax: 870-235-5263

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 104 E Columbia, Magnolia, AR 71753
Phone: 870-235-3550    
Southern Medical Group Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 211 E Stadium, Magnolia, AR 71753
Phone: 870-234-5995    Fax: 870-234-0278

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 104 Hospital Dr, Magnolia, AR 71753
Phone: 870-235-3000    

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1701 E North St, Magnolia, AR 71753
Phone: 870-234-3802    Fax: 870-234-7386

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 100 E University, Magnolia, AR 71753
Phone: 870-235-4142    Fax: 870-235-4988

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.