| Mike S. Mcfarland Mdpa | |
|
3805 W 28th Ave Pine Bluff AR 71603-4774 | |
| (870) 536-4100 | |
| (870) 534-3982 |
| Full Name | Mike S. Mcfarland Mdpa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3805 W 28th Ave, Pine Bluff, Arkansas |
| Authorized Official Name and Position | Amy Offutt (CONTROLLER) |
| Authorized Official Contact | 8705364100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike S. Mcfarland Mdpa 3805 W 28th Ave Pine Bluff AR 71603-4774 Ph: (870) 536-4100 | Mike S. Mcfarland Mdpa 3805 W 28th Ave Pine Bluff AR 71603-4774 Ph: (870) 536-4100 |
| NPI Number | 1073549242 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 10/26/2020 |
| Medicare PECOS PAC ID | 5092708495 |
|---|---|
| Medicare Enrollment ID | O20040402001425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073549242 | NPI | - | NPPES |
| 103032002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Sanford P Hooper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215027750 PECOS PAC ID: 9133294473 Enrollment ID: I20080820000584 |
| Provider Name | Kennan Doan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477643906 PECOS PAC ID: 6204901572 Enrollment ID: I20080820000778 |
| Provider Name | T Thomas Chwe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144533936 PECOS PAC ID: 3779617253 Enrollment ID: I20100819000394 |
| Provider Name | Stephanie Willett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578899506 PECOS PAC ID: 6103011218 Enrollment ID: I20101115001345 |
| Provider Name | Byron N Wilkes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710101977 PECOS PAC ID: 6305909672 Enrollment ID: I20130812000120 |
| Provider Name | Evan N Newbolt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245468925 PECOS PAC ID: 8921240375 Enrollment ID: I20130814000376 |
| Provider Name | Mason C Seelinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467878520 PECOS PAC ID: 8628292018 Enrollment ID: I20140604001053 |
| Provider Name | Brita S Rook |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942444211 PECOS PAC ID: 4486894631 Enrollment ID: I20140911001811 |
| Provider Name | James R Hoffmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043570757 PECOS PAC ID: 6800199886 Enrollment ID: I20160822001122 |
| Provider Name | Shelby R Brogdon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174009500 PECOS PAC ID: 6002166899 Enrollment ID: I20180828003490 |
| Provider Name | Donald Wayne Gauldin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871912204 PECOS PAC ID: 7911224258 Enrollment ID: I20220310000229 |
| Provider Name | Brittney Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912639261 PECOS PAC ID: 9335521681 Enrollment ID: I20220802003784 |
| Provider Name | Shalynn Mills |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104558410 PECOS PAC ID: 3476935750 Enrollment ID: I20220803000792 |
| Provider Name | Elizabeth Heaggans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659020485 PECOS PAC ID: 8022481688 Enrollment ID: I20230301001040 |
| Provider Name | Jonathan Paul Goodwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477858769 PECOS PAC ID: 8426401001 Enrollment ID: I20240131000335 |
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