| Connelley Family Medical, Pllc | |
|
777 Jordan Dr Monticello AR 71655-5719 | |
| (870) 723-4921 | |
| Not Available |
| Full Name | Connelley Family Medical, Pllc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/29/2018 |
| Last Update Date | 11/29/2018 |
| Medicare PECOS PAC ID | 5991040487 |
|---|---|
| Medicare Enrollment ID | O20190103001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659841955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John P Wornock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386614097 PECOS PAC ID: 1456256650 Enrollment ID: I20031211000941 |
| Provider Name | Jay R Connelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649250689 PECOS PAC ID: 4284658295 Enrollment ID: I20060117001167 |
| Provider Name | Harvie Marks Attwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568407088 PECOS PAC ID: 8628112471 Enrollment ID: I20100218000113 |
| Provider Name | A Michele Maxwell |
|---|---|
| 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 | |
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 | |
Monticello Medical Clinic Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 906 Roberts Dr, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 | |
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