| Jeff J. Carfagno, M.d., P.a. | |
|
1900 Club Manor Suite 105 Maumelle AR 72113 | |
| (501) 851-8100 | |
| Not Available |
| Full Name | Jeff J. Carfagno, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1900 Club Manor, Maumelle, Arkansas |
| Authorized Official Name and Position | Jeff J Carfagno (FAMILY PRACTICE PHYSICIAN) |
| Authorized Official Contact | 5018518100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff J. Carfagno, M.d., P.a. 1900 Club Manor Suite 105 Maumelle AR 72113 Ph: (501) 851-8100 | Jeff J. Carfagno, M.d., P.a. 1900 Club Manor Suite 105 Maumelle AR 72113 Ph: (501) 851-8100 |
| NPI Number | 1780765180 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698015477 |
|---|---|
| Medicare Enrollment ID | O20190313001985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780765180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | C-6805 (Arkansas) | Primary |
| Provider Name | Jeffrey J Carfagno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073616934 PECOS PAC ID: 4183648108 Enrollment ID: I20060118000026 |
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