| Covert Clinic, P.a. | |
|
122 Southern Dr Ashdown AR 71822-8668 | |
| (870) 898-6940 | |
| (870) 898-4191 |
| Full Name | Covert Clinic, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 Southern Dr, Ashdown, Arkansas |
| Authorized Official Name and Position | George K Covert (SOLE OWNER) |
| Authorized Official Contact | 8708986940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Covert Clinic, P.a. Po Box 481 Ashdown AR 71822-0481 Ph: (870) 898-6940 | Covert Clinic, P.a. 122 Southern Dr Ashdown AR 71822-8668 Ph: (870) 898-6940 |
| NPI Number | 1982841144 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 08/27/2010 |
| Medicare PECOS PAC ID | 3870657232 |
|---|---|
| Medicare Enrollment ID | O20090129000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982841144 | NPI | - | NPPES |
| 176100002 | Medicaid | AR | |
| P00056552 | Other | RR MEDICARE | |
| 203282301 | Medicaid | TX | |
| 608703900 | Other | DEPART OF LABOR | |
| 770262101 | Other | MEDICAID BREASTCARE | |
| 1639100001 | Other | QUALCHOICE | |
| 5J865 | Other | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | E-0730 (Arkansas) | Primary |
| 261QR1300X | Clinic/center - Rural Health | E-0730 (Arkansas) | Secondary |
| Provider Name | George K Covert |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922090836 PECOS PAC ID: 8325943855 Enrollment ID: I20031205000741 |
| Provider Name | Erica M Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790251577 PECOS PAC ID: 3870828882 Enrollment ID: I20190712002600 |
| Provider Name | Joyce Ann Mcmurry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457099392 PECOS PAC ID: 5496121402 Enrollment ID: I20221017001224 |
George K Covert Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 West Main, Ashdown, AR 71822 Phone: 870-898-6940 Fax: 870-898-4191 | |
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