Baptist Health Pediatric Clinic Conway - Medicare Primary Care in Conway, AR

Baptist Health Pediatric Clinic Conway is a medicare enrolled primary clinic (Clinic/center) in Conway, Arkansas. The current practice location for Baptist Health Pediatric Clinic Conway is 625 United Dr Ste 410, Conway, Arkansas. For appointments, you can reach them via phone at (501) 358-6892. The mailing address for Baptist Health Pediatric Clinic Conway is 11001 Excecutive Center Drive, 200, Little Rock, Arkansas and phone number is (501) 358-6892.

Baptist Health Pediatric Clinic Conway is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700311222. 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 (501) 358-6892.

Contact Information

Baptist Health Pediatric Clinic Conway
625 United Dr Ste 410
Conway
AR 72032-7810
(501) 358-6892
(501) 358-6894

Map and Direction


Primary Care Clinic Profile

Full NameBaptist Health Pediatric Clinic Conway
SpecialityClinic/Center
Location625 United Dr Ste 410, Conway, Arkansas
Authorized Official Name and PositionWill Rusher (CEO)
Authorized Official Contact5018127503
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Baptist Health Pediatric Clinic Conway
11001 Excecutive Center Drive
200
Little Rock
AR 72211-4393

Ph: (501) 358-6892
Baptist Health Pediatric Clinic Conway
625 United Dr Ste 410
Conway
AR 72032-7810

Ph: (501) 358-6892

NPI Details:

NPI Number1700311222
Provider Enumeration Date04/21/2017
Last Update Date09/20/2023

Medicare PECOS Information:

Medicare PECOS PAC ID7911802079
Medicare Enrollment IDO20171017003695

Medical Identifiers

Medical identifiers for Baptist Health Pediatric Clinic Conway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700311222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Baptist Health Pediatric Clinic Conway acts as a billing entity for following providers:
Provider NameDirk T Haselow
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1679746622
PECOS PAC ID: 0446428817
Enrollment ID: I20110801000008
Provider NameJanell T Vinson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376758029
PECOS PAC ID: 1951598150
Enrollment ID: I20180822002682
Provider NameCarly A Roark
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316478845
PECOS PAC ID: 2860760915
Enrollment ID: I20200710000292
Provider NameRyan M Southard
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1093178915
PECOS PAC ID: 0244522365
Enrollment ID: I20220601001399

Reviews and Comments


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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.