- Medicare Primary Care in Mountain Home, AR

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is a medicare enrolled primary clinic (Internal Medicine) in Mountain Home, Arkansas. The current practice location for is 628 Hospital Dr, Suite Ground C, Mountain Home, Arkansas. For appointments, you can reach them via phone at (870) 508-7450. The mailing address for is 628 Hospital Dr, Suite Ground C, Mountain Home, Arkansas and phone number is (870) 508-7450.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1982273512. 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) 508-7450.

Contact Information

628 Hospital Dr
Suite Ground C
Mountain Home
AR 72653-2937
(870) 508-7450
(870) 508-7768

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityInternal Medicine
Location628 Hospital Dr, Mountain Home, Arkansas
Authorized Official Name and PositionDebra Henry (CFO)
Authorized Official Contact8705081003
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

628 Hospital Dr
Suite Ground C
Mountain Home
AR 72653-2937

Ph: (870) 508-7450
628 Hospital Dr
Suite Ground C
Mountain Home
AR 72653-2937

Ph: (870) 508-7450

NPI Details:

NPI Number1982273512
Provider Enumeration Date06/18/2021
Last Update Date08/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3274420971
Medicare Enrollment IDO20210807000048

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982273512NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (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. acts as a billing entity for following providers:
Provider NameRaymond L Bandy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265411318
PECOS PAC ID: 5890746382
Enrollment ID: I20070316000131
Provider NameGrant Kohler Mathews
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1689898843
PECOS PAC ID: 7719150572
Enrollment ID: I20111024000563
Provider NameBrian I Malte
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1669787784
PECOS PAC ID: 9830406859
Enrollment ID: I20150923001301
Provider NameJoyce L Stratmoen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841736170
PECOS PAC ID: 1355625765
Enrollment ID: I20170303000298
Provider NameMeagan Lynne Thitoff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184127292
PECOS PAC ID: 0840553111
Enrollment ID: I20180419000878
Provider NameKylee Marie Claypool
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649840489
PECOS PAC ID: 7214333913
Enrollment ID: I20210903001781
Provider NameZane Cannon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922674050
PECOS PAC ID: 3971906231
Enrollment ID: I20241001002982

Reviews and Comments


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Medicare: Medicare Enrolled
Practice Location: 624 Hospital Dr, Mountain Home, AR 72653
Phone: 870-508-1000    Fax: 870-424-6616

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.