| Benton Family Clinic | |
|
819 W Carpenter St Benton AR 72015-3349 | |
| (501) 778-8264 | |
| (501) 778-7360 |
| Full Name | Benton Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 819 W Carpenter St, Benton, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Family Clinic 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Benton Family Clinic 819 W Carpenter St Benton AR 72015-3349 Ph: (501) 778-8264 |
| NPI Number | 1558330969 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20031216000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558330969 | NPI | - | NPPES |
| 128269002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cara B Ballard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457310476 PECOS PAC ID: 2961471776 Enrollment ID: I20040929000108 |
| Provider Name | Michael Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316949167 PECOS PAC ID: 3779549225 Enrollment ID: I20041206001168 |
| Provider Name | Mark A Vice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134188063 PECOS PAC ID: 3577512375 Enrollment ID: I20050119000631 |
| Provider Name | Jeffrey Steven Mayfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184697203 PECOS PAC ID: 0446204705 Enrollment ID: I20050323000632 |
| Provider Name | Chrysti L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992764518 PECOS PAC ID: 3476576604 Enrollment ID: I20060125000659 |
| Provider Name | Timothy S Morse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811130867 PECOS PAC ID: 7618022120 Enrollment ID: I20090908000169 |
| Provider Name | Hannah K Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174057376 PECOS PAC ID: 3173894557 Enrollment ID: I20170803000028 |
Epoch Health- Benton, Pllc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Park Dr, Benton, AR 72015 Phone: 877-321-8452 | |
Ascent Childrens Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3214 Winchester Dr., Benton, AR 72015 Phone: 501-326-6160 Fax: 501-326-6161 | |
Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 Fax: 501-778-8377 | |
Congo Dental, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 Congo Rd Ste C, Benton, AR 72015 Phone: 501-778-1400 Fax: 501-778-6194 | |
Saline Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6010 | |
West Side Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W South St Ste A, Benton, AR 72015 Phone: 501-794-6123 Fax: 501-794-6148 | |
West Side Clinical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 W South St, Benton, AR 72015 Phone: 501-778-3151 Fax: 501-778-7329 |