Diffine Family Practice Pllc | |
1100 Medical Plaza Drive South Suite C Blytheville AR 72315 | |
(870) 824-2809 | |
(870) 762-0731 |
Full Name | Diffine Family Practice Pllc |
---|---|
Speciality | Family Medicine |
Location | 1100 Medical Plaza Drive South, Blytheville, Arkansas |
Authorized Official Name and Position | David A Diffine (PRESIDENT) |
Authorized Official Contact | 8708242809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Diffine Family Practice Pllc Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Diffine Family Practice Pllc 1100 Medical Plaza Drive South Suite C Blytheville AR 72315 Ph: (870) 824-2809 |
NPI Number | 1962707158 |
---|---|
Provider Enumeration Date | 01/19/2011 |
Last Update Date | 02/07/2024 |
Medicare PECOS PAC ID | 4486836657 |
---|---|
Medicare Enrollment ID | O20110309000298 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962707158 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-3767 (Arkansas) | Primary |
Provider Name | David A Diffine |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1679576631 PECOS PAC ID: 0244140630 Enrollment ID: I20040407001433 |
Provider Name | Bethany Allison Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346339066 PECOS PAC ID: 5294757233 Enrollment ID: I20051219000878 |
Provider Name | Rachael Chandler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245870989 PECOS PAC ID: 7214364256 Enrollment ID: I20200303002441 |
Provider Name | Amber Fawn Adams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962789826 PECOS PAC ID: 9830571504 Enrollment ID: I20220728001349 |
Mid-south Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 N 10th St Ste G, Blytheville, AR 72315 Phone: 870-838-7500 Fax: 870-838-7452 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Medical Dr, Blytheville, AR 72315 Phone: 870-838-7277 Fax: 870-776-5380 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E Main St, Blytheville, AR 72315 Phone: 870-409-7060 | |
Board Certified Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 North Sixth Street, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 | |
James D.dye,m.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 | |
James David Dye Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 |