| Burchfield Family Medicine Pllc | |
|
630 W Court St Paragould AR 72450-4247 | |
| (870) 236-6911 | |
| (870) 236-8129 |
| Full Name | Burchfield Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 630 W Court St, Paragould, Arkansas |
| Authorized Official Name and Position | Diary Oden (OFFICE MANAGER) |
| Authorized Official Contact | 8702366911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Burchfield Family Medicine Pllc 630 W Court St Paragould AR 72450-4247 Ph: (870) 236-6911 | Burchfield Family Medicine Pllc 630 W Court St Paragould AR 72450-4247 Ph: (870) 236-6911 |
| NPI Number | 1851331334 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 07/22/2013 |
| Medicare PECOS PAC ID | 6800791013 |
|---|---|
| Medicare Enrollment ID | O20031201000795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851331334 | NPI | - | NPPES |
| 131636001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1234 (Arkansas) | Primary |
| Provider Name | Samuel Scott Burchfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124098587 PECOS PAC ID: 2163327370 Enrollment ID: I20040110000203 |
| Provider Name | Suzanne Bushong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417929316 PECOS PAC ID: 5395646095 Enrollment ID: I20040115001073 |
| Provider Name | Amy M Elms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481589 PECOS PAC ID: 4688930837 Enrollment ID: I20171104000013 |
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