| Lg Sasser Iii Md Llc | |
|
1200 Fort St Barling AR 72923-2013 | |
| (479) 763-1511 | |
| (479) 358-1455 |
| Full Name | Lg Sasser Iii Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1200 Fort St, Barling, Arkansas |
| Authorized Official Name and Position | Louis Gordon Sasser (OWNER) |
| Authorized Official Contact | 4794308503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lg Sasser Iii Md Llc Po Box 1446 Alma AR 72921-1446 Ph: (479) 430-8503 | Lg Sasser Iii Md Llc 1200 Fort St Barling AR 72923-2013 Ph: (479) 763-1511 |
| NPI Number | 1578043394 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Medicare PECOS PAC ID | 8426486705 |
|---|---|
| Medicare Enrollment ID | O20200319002935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578043394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arkansas) | Primary |
| Provider Name | Louis Gordon Sasser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770581845 PECOS PAC ID: 9537138730 Enrollment ID: I20040924000719 |
Phomakay Primary Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-782-5500 Fax: 479-782-5502 | |
Community Family Medical Clinic, Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1202 Fort Street, Barling, AR 72923 Phone: 918-427-7581 Fax: 918-427-7798 |