Conway Regional Hendrix Medical Clinic - Medicare Primary Care in Conway, AR

Conway Regional Hendrix Medical Clinic is a medicare enrolled primary clinic (Family Medicine) in Conway, Arkansas. The current practice location for Conway Regional Hendrix Medical Clinic is 1700 Altus St Ste 110, Conway, Arkansas. For appointments, you can reach them via phone at (501) 852-1366. The mailing address for Conway Regional Hendrix Medical Clinic is 1700 Altus St Ste 110, Conway, Arkansas and phone number is (501) 852-1366.

Conway Regional Hendrix Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1710513957. 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 (501) 852-1366.

Contact Information

Conway Regional Hendrix Medical Clinic
1700 Altus St Ste 110
Conway
AR 72032-4299
(501) 852-1366
(501) 852-1367

Map and Direction


Primary Care Clinic Profile

Full NameConway Regional Hendrix Medical Clinic
SpecialityFamily Medicine
Location1700 Altus St Ste 110, Conway, Arkansas
Authorized Official Name and PositionWilliam Pack (CFO)
Authorized Official Contact5014502112
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Conway Regional Hendrix Medical Clinic
1700 Altus St Ste 110
Conway
AR 72032-4299

Ph: (501) 852-1366
Conway Regional Hendrix Medical Clinic
1700 Altus St Ste 110
Conway
AR 72032-4299

Ph: (501) 852-1366

NPI Details:

NPI Number1710513957
Provider Enumeration Date03/19/2020
Last Update Date11/09/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3173428414
Medicare Enrollment IDO20200602000925

Medical Identifiers

Medical identifiers for Conway Regional Hendrix Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710513957NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Conway Regional Hendrix Medical Clinic acts as a billing entity for following providers:
Provider NameReda Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699763441
PECOS PAC ID: 3779687561
Enrollment ID: I20070404000196
Provider NameGina L Mcnew
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306060561
PECOS PAC ID: 1456452192
Enrollment ID: I20070724000737
Provider NameKeith Cooper
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295732816
PECOS PAC ID: 1658405212
Enrollment ID: I20100818000119
Provider NameJames Richard Fulmer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093030918
PECOS PAC ID: 8628211083
Enrollment ID: I20131021000785
Provider NameAllison Tiner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285094052
PECOS PAC ID: 6002115821
Enrollment ID: I20160429000610
Provider NameKathryn N Deacon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598289746
PECOS PAC ID: 5991078305
Enrollment ID: I20170907000539
Provider NameJamie D Trapp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477949238
PECOS PAC ID: 5597011288
Enrollment ID: I20180711001172
Provider NameStephanie Rittman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730851775
PECOS PAC ID: 4981093606
Enrollment ID: I20211117002281

Reviews and Comments


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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.