Lincoln Paden Medical Group Pllc | |
405 Buttercup Dr Mountain Home AR 72653-2910 | |
(870) 425-3030 | |
(870) 425-0633 |
Full Name | Lincoln Paden Medical Group Pllc |
---|---|
Speciality | Family Medicine |
Location | 405 Buttercup Dr, Mountain Home, Arkansas |
Authorized Official Name and Position | Valerie Diggs (ASSIST. ADMIN) |
Authorized Official Contact | 8704253030 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lincoln Paden Medical Group Pllc 405 Buttercup Dr Mountain Home AR 72653-2910 Ph: (870) 425-3030 | Lincoln Paden Medical Group Pllc 405 Buttercup Dr Mountain Home AR 72653-2910 Ph: (870) 425-3030 |
NPI Number | 1538112081 |
---|---|
Provider Enumeration Date | 05/18/2006 |
Last Update Date | 05/25/2022 |
Medicare PECOS PAC ID | 7517859291 |
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Medicare Enrollment ID | O20040326001230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538112081 | NPI | - | NPPES |
124281002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Shelley J Warr |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750347258 PECOS PAC ID: 5496647182 Enrollment ID: I20040326001246 |
Provider Name | Cara B Ballard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457310476 PECOS PAC ID: 2961471776 Enrollment ID: I20040929000108 |
Provider Name | Debra D Wilhite |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992775878 PECOS PAC ID: 0749232452 Enrollment ID: I20050318000866 |
Provider Name | James Warr |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770628471 PECOS PAC ID: 7012095474 Enrollment ID: I20090904000439 |
Provider Name | Lance R Lincoln |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649236290 PECOS PAC ID: 0749314540 Enrollment ID: I20100816000706 |
Provider Name | Timothy C Paden |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992761555 PECOS PAC ID: 4587740725 Enrollment ID: I20101019001418 |
Provider Name | Kimberly Peters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922304369 PECOS PAC ID: 9234301409 Enrollment ID: I20111012000197 |
Provider Name | Michael C Adkins |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912172271 PECOS PAC ID: 2860474830 Enrollment ID: I20120815000080 |
Provider Name | Deborah Stepp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285180984 PECOS PAC ID: 4385924893 Enrollment ID: I20161129001045 |
Provider Name | Samantha A Shipman |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1518351428 PECOS PAC ID: 2961718333 Enrollment ID: I20181113000050 |
Provider Name | Lorraine Dee Dyess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295310795 PECOS PAC ID: 1153722533 Enrollment ID: I20210623000019 |
Provider Name | John Baltz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861020240 PECOS PAC ID: 5698132272 Enrollment ID: I20230613002714 |
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