Hackett Family Clinic, Llc is a medicare enrolled primary clinic (Family Medicine) in Hackett, Arkansas. The current practice location for Hackett Family Clinic, Llc is 215 N Main St, Hackett, Arkansas. For appointments, you can reach them via phone at
(479) 255-6095. The mailing address for Hackett Family Clinic, Llc is Po Box 1278, Poteau, Oklahoma and phone number is (918) 647-0670.
Hackett Family Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1124656434. 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
(479) 255-6095.
Primary Care Clinic Profile
| Full Name | Hackett Family Clinic, Llc |
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| Speciality | Family Medicine |
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| Location | 215 N Main St, Hackett, Arkansas |
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| Authorized Official Name and Position | Evelyn M Tustin (OFFICE MANAGER) |
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| Authorized Official Contact | 4792556095 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Hackett Family Clinic, Llc
Po Box 1278
Poteau
OK 74953-1278
Ph: (918) 647-0670 | Hackett Family Clinic, Llc
215 N Main St
Hackett
AR 72937-8801
Ph: (479) 255-6095 |
NPI Details:
| NPI Number | 1124656434 |
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| Provider Enumeration Date | 03/31/2020 |
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| Last Update Date | 03/31/2020 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 6507278801 |
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| Medicare Enrollment ID | O20201210000668 |
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Medical Identifiers
Medical identifiers for Hackett Family Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124656434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family 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.
Hackett Family Clinic, Llc acts as a billing entity for following providers:
| Provider Name | Erin Goss |
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| Provider Type | Practitioner - Nurse Practitioner |
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| Provider Identifiers | NPI Number: 1386096584
PECOS PAC ID: 5294064390
Enrollment ID: I20211102002091 |
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