| Mitchell Family Medicine, Llc | |
|
924 State Highway 77 Marion AR 72364-9004 | |
| (870) 739-8670 | |
| (870) 739-8706 |
| Full Name | Mitchell Family Medicine, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 11/21/2018 |
| Medicare PECOS PAC ID | 1850633074 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275852188 PECOS PAC ID: 3173764925 Enrollment ID: I20130722000187 |
| Provider Name | Lindley R Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619282787 PECOS PAC ID: 0648594317 Enrollment ID: I20150129000553 |
| Provider Name | Lindsay B Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881070803 PECOS PAC ID: 5193020782 Enrollment ID: I20160218002010 |
| Provider Name | Angel D Gulley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073159984 PECOS PAC ID: 6002243045 Enrollment ID: I20200303002166 |
| Provider Name | Stacy C Reschke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467896886 PECOS PAC ID: 4587801683 Enrollment ID: I20200624002127 |
| Provider Name | Ashley Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649888413 PECOS PAC ID: 3476970047 Enrollment ID: I20200827001032 |
| Provider Name | Sean F Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184112112 PECOS PAC ID: 3971854530 Enrollment ID: I20220629003611 |
| Provider Name | Peyton Victoria Courtney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831834829 PECOS PAC ID: 3870973118 Enrollment ID: I20220705002270 |
| Provider Name | Devin Nicole Hicks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679033765 PECOS PAC ID: 2163756834 Enrollment ID: I20220830003231 |
| Provider Name | Jill Renee Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767375 PECOS PAC ID: 9133503584 Enrollment ID: I20220902000209 |
| Provider Name | Christian Marie Ann Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417552605 PECOS PAC ID: 8820469125 Enrollment ID: I20230125000074 |
| Provider Name | Hong-van T Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205464286 PECOS PAC ID: 2062835747 Enrollment ID: I20230730000044 |
| Provider Name | Jodi Renigar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447949383 PECOS PAC ID: 8527429745 Enrollment ID: I20230803001082 |
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