Collom And Carney Clinic Prescott Clinic - Medicare Primary Care in Prescott, AR

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Collom And Carney Clinic Prescott Clinic is a medicare enrolled primary clinic (Family Medicine) in Prescott, Arkansas. The current practice location for Collom And Carney Clinic Prescott Clinic is 1440 W 1st N, Prescott, Arkansas. For appointments, you can reach them via phone at (870) 887-8001. The mailing address for Collom And Carney Clinic Prescott Clinic is 5002 Cowhorn Creek Rd, Texarkana, Texas and phone number is (903) 614-3000.

Collom And Carney Clinic Prescott Clinic is licensed to practice in Texas (license number ). The clinic also participates in the medicare program and its NPI number is 1740262732. 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) 887-8001.

Contact Information

Collom And Carney Clinic Prescott Clinic
1440 W 1st N
Prescott
AR 71853
(870) 887-8001
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameCollom And Carney Clinic Prescott Clinic
SpecialityFamily Medicine
Location1440 W 1st N, Prescott, Arkansas
Authorized Official Name and PositionMary E Dwight (CHIEF OPERATING OFFICER)
Authorized Official Contact9036143282
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Collom And Carney Clinic Prescott Clinic
5002 Cowhorn Creek Rd
Texarkana
TX 75503-9766

Ph: (903) 614-3000		Collom And Carney Clinic Prescott Clinic
1440 W 1st N
Prescott
AR 71853

Ph: (870) 887-8001

NPI Details:

NPI Number1740262732
Provider Enumeration Date11/16/2005
Last Update Date02/24/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1355249541
Medicare Enrollment IDO20040721000534

Medical Identifiers

Medical identifiers for Collom And Carney Clinic Prescott Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740262732NPI-NPPES
149724002MedicaidAR
CC9231OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Collom And Carney Clinic Prescott Clinic acts as a billing entity for following providers:
Provider NameThomas Alan Fox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770583189
PECOS PAC ID: 9436042769
Enrollment ID: I20040202001158
Provider NamePaul Gardial
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639170194
PECOS PAC ID: 6608850631
Enrollment ID: I20040616000821
Provider NameEdward W Tobey
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1306846712
PECOS PAC ID: 6608855846
Enrollment ID: I20040720000416
Provider NameJason Zhi Lee
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1285634592
PECOS PAC ID: 6204806292
Enrollment ID: I20040728000186
Provider NameHayden Nix Hemphill
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1396746376
PECOS PAC ID: 2668420159
Enrollment ID: I20050111000935
Provider NameChristopher Payne
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1558363507
PECOS PAC ID: 0345297628
Enrollment ID: I20050601000651
Provider NameJohn Owen Stevens
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1508886482
PECOS PAC ID: 4385799501
Enrollment ID: I20120130000062
Provider NameTimothy Adam Crabtree
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487927711
PECOS PAC ID: 1355505710
Enrollment ID: I20120827000595
Provider NameJoseph Sean Womack
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1003816901
PECOS PAC ID: 8729034335
Enrollment ID: I20140512001635
Provider NameKimberly A Benish
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104000553
PECOS PAC ID: 6608012257
Enrollment ID: I20150716001437
Provider NameKatherine Antoinette Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407203425
PECOS PAC ID: 3274824347
Enrollment ID: I20160621000084
Provider NameRobert James Leach
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1114910411
PECOS PAC ID: 1658352893
Enrollment ID: I20180122000808
Provider NameKevin Henderson O'sullivan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922492859
PECOS PAC ID: 6507174737
Enrollment ID: I20180822000663
Provider NameMuazer Bushra Mohamed Ahmed
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1891113577
PECOS PAC ID: 2466673066
Enrollment ID: I20190828002198
Provider NameJohn Stanley Griffin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720088636
PECOS PAC ID: 2163561820
Enrollment ID: I20200408003182
Provider NameBlane A Graves
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124010301
PECOS PAC ID: 3971652199
Enrollment ID: I20200413001530
Provider NameMartega Marie Walton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104425586
PECOS PAC ID: 2961812029
Enrollment ID: I20201102001367
Provider NameJamie L Patterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538609920
PECOS PAC ID: 1850677766
Enrollment ID: I20211026003648
Provider NameKayla Nicole Stockton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023732716
PECOS PAC ID: 9032585153
Enrollment ID: I20221014000811

Reviews and Comments


Family Medicine in Prescott, AR

Baptist Health Family Clinic - Prescott
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1480 W 1st St N, Suite 2, Prescott, AR 71857
Phone: 870-887-0155    Fax: 870-887-0381
Prescott Family Clinic P A
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 301 Hale Ave, Prescott, AR 71857
Phone: 870-887-6651    Fax: 870-887-2008

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.