| Michele A Pashkevich Md Pa | |
|
1708 W 42nd Ave Pine Bluff AR 71603-7008 | |
| (870) 536-7300 | |
| (870) 535-7858 |
| Full Name | Michele A Pashkevich Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1708 W 42nd Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Michele A Pashkevich (PRESIDENT) |
| Authorized Official Contact | 8705367300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele A Pashkevich Md Pa 1708 W 42nd Ave Pine Bluff AR 71603-7008 Ph: (870) 536-7300 | Michele A Pashkevich Md Pa 1708 W 42nd Ave Pine Bluff AR 71603-7008 Ph: (870) 536-7300 |
| NPI Number | 1306156476 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 01/07/2014 |
| Medicare PECOS PAC ID | 0345423042 |
|---|---|
| Medicare Enrollment ID | O20110317000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306156476 | NPI | - | NPPES |
| 113183001 | Medicaid | AR | |
| E04692 | Other | AR | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C7202 (Arkansas) | Primary |
| Provider Name | Michele A Pashkevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659319879 PECOS PAC ID: 1951584655 Enrollment ID: I20110317000455 |
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