Main Street Medical Clinic, P.a. | |
722 N Main St Benton AR 72015-3337 | |
(501) 315-0059 | |
(501) 315-1320 |
Full Name | Main Street Medical Clinic, P.a. |
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Speciality | Internal Medicine |
Location | 722 N Main St, Benton, Arkansas |
Authorized Official Name and Position | Sheryl Wilchman (OFFICE MANAGER) |
Authorized Official Contact | 5013150059 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Main Street Medical Clinic, P.a. 722 N Main St Benton AR 72015-3337 Ph: (501) 315-0059 | Main Street Medical Clinic, P.a. 722 N Main St Benton AR 72015-3337 Ph: (501) 315-0059 |
NPI Number | 1841298791 |
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Provider Enumeration Date | 07/13/2005 |
Last Update Date | 05/20/2021 |
Medicare PECOS PAC ID | 6103973292 |
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Medicare Enrollment ID | O20090407000146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841298791 | NPI | - | NPPES |
150521002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MC-2252 (Arkansas) | Primary |
208000000X | Pediatrics | MC-2252 (Arkansas) | Secondary |
Provider Name | Jim E Brewer |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275599987 PECOS PAC ID: 8426030966 Enrollment ID: I20040607001055 |
Provider Name | Clay B Brashears |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265430201 PECOS PAC ID: 4587620844 Enrollment ID: I20041208000454 |
Epoch Health- Benton, Pllc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Park Dr, Benton, AR 72015 Phone: 877-321-8452 | |
Ascent Childrens Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3214 Winchester Dr., Benton, AR 72015 Phone: 501-326-6160 Fax: 501-326-6161 | |
Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 Fax: 501-778-8377 | |
Congo Dental, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 Congo Rd Ste C, Benton, AR 72015 Phone: 501-778-1400 Fax: 501-778-6194 | |
Saline Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6010 | |
West Side Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W South St Ste A, Benton, AR 72015 Phone: 501-794-6123 Fax: 501-794-6148 | |
West Side Clinical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 W South St, Benton, AR 72015 Phone: 501-778-3151 Fax: 501-778-7329 |