Jefferson Comprehensive Care System, Inc - Medicare Primary Care in Pine Bluff, AR

Jefferson Comprehensive Care System, Inc is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pine Bluff, Arkansas. The current practice location for Jefferson Comprehensive Care System, Inc is 1101 Tennessee St, Pine Bluff, Arkansas. For appointments, you can reach them via phone at (870) 543-2380. The mailing address for Jefferson Comprehensive Care System, Inc is Po Box 1285, Pine Bluff, Arkansas and phone number is (870) 543-2380.

Jefferson Comprehensive Care System, Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154386597. 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 (870) 543-2380.

Contact Information

Jefferson Comprehensive Care System, Inc
1101 Tennessee St
Pine Bluff
AR 71601-5801
(870) 543-2380
(870) 535-4716

Map and Direction


Primary Care Clinic Profile

Full NameJefferson Comprehensive Care System, Inc
SpecialityClinic/Center
Location1101 Tennessee St, Pine Bluff, Arkansas
Authorized Official Name and PositionLarnell W Davis (EXECUTIVE DIRECTOR)
Authorized Official Contact8705432380
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jefferson Comprehensive Care System, Inc
Po Box 1285
Pine Bluff
AR 71613-1285

Ph: (870) 543-2380
Jefferson Comprehensive Care System, Inc
1101 Tennessee St
Pine Bluff
AR 71601-5801

Ph: (870) 543-2380

NPI Details:

NPI Number1154386597
Provider Enumeration Date04/19/2006
Last Update Date07/20/2007

Medicare PECOS Information:

Medicare PECOS PAC ID5193634509
Medicare Enrollment IDO20040603001458

Medical Identifiers

Medical identifiers for Jefferson Comprehensive Care System, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154386597NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. Jefferson Comprehensive Care System, Inc acts as a billing entity for following providers:
Provider NameMarcus Crouther
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770520819
PECOS PAC ID: 2769383587
Enrollment ID: I20040115000622
Provider NameSherri L Diamond
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932100534
PECOS PAC ID: 8921091398
Enrollment ID: I20040403000302
Provider NameManuel R Kelley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083670830
PECOS PAC ID: 1951338581
Enrollment ID: I20050725001216
Provider NameKathy L Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205011541
PECOS PAC ID: 5294866331
Enrollment ID: I20100706000378
Provider NameLinda G Cabine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932164084
PECOS PAC ID: 6204008865
Enrollment ID: I20111004000721
Provider NameVunkisha Nash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184978421
PECOS PAC ID: 5294970059
Enrollment ID: I20130327000040
Provider NameMichelle L Bagby
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043692080
PECOS PAC ID: 1153637939
Enrollment ID: I20150825004966
Provider NameCarla D Devose
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164846119
PECOS PAC ID: 9830491091
Enrollment ID: I20160105000930
Provider NameStephanie J Shaw
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811364995
PECOS PAC ID: 1254640584
Enrollment ID: I20160510002025
Provider NameCrystal Holmes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497203335
PECOS PAC ID: 3577844711
Enrollment ID: I20170103000405
Provider NameYolanda C Jeffery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487071031
PECOS PAC ID: 2961783782
Enrollment ID: I20170110000055
Provider NameShanna Rahmaan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699226860
PECOS PAC ID: 7416229422
Enrollment ID: I20170824002647
Provider NameChristy N Reed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669073631
PECOS PAC ID: 3870981673
Enrollment ID: I20211028000206
Provider NameUhronda D Reel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922315613
PECOS PAC ID: 7810387305
Enrollment ID: I20211123002285
Provider NameJavonnia K Copeland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992262802
PECOS PAC ID: 4284024258
Enrollment ID: I20211206001963

Reviews and Comments


Clinic/Center in Pine Bluff, AR

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Phone: 870-543-2380    Fax: 870-535-4716
Mike S. Mcfarland Mdpa
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Medicare: Medicare Enrolled
Practice Location: 3805 W 28th Ave, Pine Bluff, AR 71603
Phone: 870-536-4100    Fax: 870-534-3982
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Medicare: Not Enrolled in Medicare
Practice Location: 1600 W 42nd Ave, Pine Bluff, AR 71603
Phone: 870-541-7111    Fax: 870-850-6482
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Medicare: Not Enrolled in Medicare
Practice Location: 1305 W 43rd Ave, Pine Bluff, AR 71603
Phone: 870-534-8515    Fax: 870-534-7160

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.