Connelley Family Medical, Pllc | |
777 Jordan Dr Monticello AR 71655-5719 | |
(870) 723-4921 | |
Not Available |
Full Name | Connelley Family Medical, Pllc |
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Speciality | Family Medicine |
Location | 777 Jordan Dr, Monticello, Arkansas |
Authorized Official Name and Position | Karen Connelley (STARTUP COORDINATOR) |
Authorized Official Contact | 8707234921 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Connelley Family Medical, Pllc Po Box 417 Monticello AR 71657-0417 Ph: () - | Connelley Family Medical, Pllc 777 Jordan Dr Monticello AR 71655-5719 Ph: (870) 723-4921 |
NPI Number | 1659841955 |
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Provider Enumeration Date | 11/29/2018 |
Last Update Date | 11/29/2018 |
Medicare PECOS PAC ID | 5991040487 |
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Medicare Enrollment ID | O20190103001407 |
Identifier | Type | State | Issuer |
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1659841955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John P Wornock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386614097 PECOS PAC ID: 1456256650 Enrollment ID: I20031211000941 |
Provider Name | Jay R Connelley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649250689 PECOS PAC ID: 4284658295 Enrollment ID: I20060117001167 |
Provider Name | Harvie Marks Attwood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568407088 PECOS PAC ID: 8628112471 Enrollment ID: I20100218000113 |
Provider Name | A Michele Maxwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669937488 PECOS PAC ID: 4082940358 Enrollment ID: I20190724001255 |
Mmc2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Drive, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 | |
University Of Arkansas At Monticello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 663 University Drive, Monticello, AR 71656 Phone: 870-460-1058 | |
Jefferson Regional Monticello Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Roberts Drive, Suite B, Monticello, AR 71655 Phone: 870-367-1461 | |
Drew Memorial Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 778 Scogin Dr, Monticello, AR 71655 Phone: 870-367-2411 Fax: 870-460-3562 | |
Monticello Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383 | |
Sheiron Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Dr, Monticello, AR 71655 Phone: 870-367-3246 Fax: 870-367-3271 | |
Mainline Uam Behavioral Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 517 University Dr, Suite 201, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383 |