Mitchell Family Medicine, Llc | |
924 State Highway 77 Marion AR 72364-9004 | |
(870) 739-8670 | |
(870) 739-8706 |
Full Name | Mitchell Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 924 State Highway 77, Marion, Arkansas |
Authorized Official Name and Position | Aaron Mitchell (CEO) |
Authorized Official Contact | 8707398670 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mitchell Family Medicine, Llc 627 Big Lake Rd Marion AR 72364-2655 Ph: (870) 738-8670 | Mitchell Family Medicine, Llc 924 State Highway 77 Marion AR 72364-9004 Ph: (870) 739-8670 |
NPI Number | 1528537461 |
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Provider Enumeration Date | 11/21/2018 |
Last Update Date | 11/21/2018 |
Medicare PECOS PAC ID | 1850633074 |
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Medicare Enrollment ID | O20190508001393 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528537461 | NPI | - | NPPES |
198344001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Aaron J Mitchell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275852188 PECOS PAC ID: 3173764925 Enrollment ID: I20130722000187 |
Provider Name | Angel D Gulley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073159984 PECOS PAC ID: 6002243045 Enrollment ID: I20200303002166 |
Provider Name | Ashley Duncan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649888413 PECOS PAC ID: 3476970047 Enrollment ID: I20200827001032 |
Provider Name | Sean F Koch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184112112 PECOS PAC ID: 3971854530 Enrollment ID: I20220629003611 |
Provider Name | Peyton Victoria Courtney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831834829 PECOS PAC ID: 3870973118 Enrollment ID: I20220705002270 |
Provider Name | Jill Renee Davis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740767375 PECOS PAC ID: 9133503584 Enrollment ID: I20220902000209 |
Provider Name | Christian Marie Ann Garrett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417552605 PECOS PAC ID: 8820469125 Enrollment ID: I20230125000074 |
Provider Name | Hong-van T Nguyen |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1205464286 PECOS PAC ID: 2062835747 Enrollment ID: I20230730000044 |
Provider Name | Jodi Renigar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447949383 PECOS PAC ID: 8527429745 Enrollment ID: I20230803001082 |
Provider Name | Maria C Witherspoon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770153538 PECOS PAC ID: 8325446511 Enrollment ID: I20241009001033 |
Community Family Medical Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1139 North Highway 77, Marion, AR 72364 Phone: 870-559-2480 Fax: 870-559-2555 | |
Ilsa Sanchez Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Military Rd Ste 1, Marion, AR 72364 Phone: 901-737-3071 | |