| Internal Medicine Of Forrest City | |
|
332 E Cook St Forrest City AR 72335-2830 | |
| (870) 630-2233 | |
| (870) 630-2224 |
| Full Name | Internal Medicine Of Forrest City |
|---|---|
| Speciality | Internal Medicine |
| Location | 332 E Cook St, Forrest City, Arkansas |
| Authorized Official Name and Position | Sudesh Banaji (OWNER) |
| Authorized Official Contact | 8706302233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Forrest City 332 E Cook St Forrest City AR 72335-2830 Ph: (870) 630-2233 | Internal Medicine Of Forrest City 332 E Cook St Forrest City AR 72335-2830 Ph: (870) 630-2233 |
| NPI Number | 1659455830 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 03/24/2011 |
| Medicare PECOS PAC ID | 4486719879 |
|---|---|
| Medicare Enrollment ID | O20090218000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659455830 | NPI | - | NPPES |
| 5F219 | Other | AR | AR BCBS |
| 5L309 | Other | AR | AR BCBS |
| 138381001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E2308 (Arkansas) | Primary |
| Provider Name | Sudesh Banaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003815192 PECOS PAC ID: 1355237389 Enrollment ID: I20040225001037 |
| Provider Name | Deanna Kay Michaelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265949895 PECOS PAC ID: 3476800988 Enrollment ID: I20180716000505 |
David L. Webber Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 328 Kittle Rd, Forrest City, AR 72335 Phone: 870-633-0220 Fax: 870-633-0212 | |
James Franks Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1698 Lindauer Rd, Forrest City, AR 72335 Phone: 870-630-2500 Fax: 870-630-2504 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1220 N Washington St, Forrest City, AR 72335 Phone: 870-594-6001 Fax: 501-823-3623 | |
Brandy Davis Md P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 Holiday Dr, Suite 406, Forrest City, AR 72335 Phone: 870-494-4000 Fax: 870-494-4033 | |
East Arkansas Children's Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Holiday Dr, Forrest City, AR 72335 Phone: 870-633-0880 Fax: 870-633-3801 | |
East Arkansas Family Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Deadrick Rd, Forrest City, AR 72335 Phone: 870-735-3842 | |
Crowleys Ridge Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Holiday Dr, Suite 404, Forrest City, AR 72335 Phone: 870-630-1683 Fax: 870-630-0308 |