Ob Lake Village - Medicare Primary Care in Lake Village, AR

Ob Lake Village is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lake Village, Arkansas. The current practice location for Ob Lake Village is 2729 Us 65, Lake Village, Arkansas. For appointments, you can reach them via phone at (870) 466-4987. The mailing address for Ob Lake Village is Po Box 509, Dermott, Arkansas and phone number is (870) 942-3000.

Ob Lake Village is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1548949852. 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) 466-4987.

Contact Information

Ob Lake Village
2729 Us 65
Lake Village
AR 71653
(870) 466-4987
(855) 926-7383

Map and Direction


Primary Care Clinic Profile

Full NameOb Lake Village
SpecialityClinic/Center
Location2729 Us 65, Lake Village, Arkansas
Authorized Official Name and PositionGary Allan Nichols (CEO)
Authorized Official Contact8709423000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ob Lake Village
Po Box 509
Dermott
AR 71638-0509

Ph: (870) 942-3000
Ob Lake Village
2729 Us 65
Lake Village
AR 71653

Ph: (870) 466-4987

NPI Details:

NPI Number1548949852
Provider Enumeration Date07/13/2023
Last Update Date07/11/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5193785590
Medicare Enrollment IDO20240104004147

Medical Identifiers

Medical identifiers for Ob Lake Village such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548949852NPI-NPPES
315451749MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Lake Village, AR

Chicot Memorial Medical Center
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Phone: 870-265-5351    Fax: 870-265-2091
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Phone: 870-265-5351    Fax: 870-265-2091
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Phone: 870-265-4333    Fax: 318-665-9950
Lake Village Clinic Pa
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Medicare: Medicare Enrolled
Practice Location: 2918 Louis Sessions St, Lake Village, AR 71653
Phone: 870-265-5343    Fax: 870-265-5686
Lakeside School
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Medicare: Medicare Enrolled
Practice Location: 360 A Highway 82, Lake Village, AR 71653
Phone: 870-201-2127    Fax: 888-671-8943
Russell Medical Services Pllc
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Medicare: Not Enrolled in Medicare
Practice Location: 5071 Highway 82 E, Lake Village, AR 71653
Phone: 870-515-1289    

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.