| Monticello Medical Clinic Plc | |
|
906 Roberts Dr Monticello AR 71655-5724 | |
| (870) 367-6867 | |
| (870) 367-1461 |
| Full Name | Monticello Medical Clinic Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 906 Roberts Dr, Monticello, Arkansas |
| Authorized Official Name and Position | Sylvia Simon (PARTNER) |
| Authorized Official Contact | 8703676867 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monticello Medical Clinic Plc 906 Roberts Dr Monticello AR 71655-5724 Ph: (870) 367-6867 | Monticello Medical Clinic Plc 906 Roberts Dr Monticello AR 71655-5724 Ph: (870) 367-6867 |
| NPI Number | 1366422305 |
|---|---|
| Provider Enumeration Date | 01/17/2006 |
| Last Update Date | 04/01/2020 |
| Medicare PECOS PAC ID | 5799709663 |
|---|---|
| Medicare Enrollment ID | O20060118000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366422305 | NPI | - | NPPES |
| 77067202 | Other | AR | BREASTCARE |
| 139812002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Timothy M Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376523316 PECOS PAC ID: 9537194980 Enrollment ID: I20051004000943 |
| Provider Name | Sylvia Charles Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639159676 PECOS PAC ID: 9032133038 Enrollment ID: I20060117001150 |
| Provider Name | Joseph M Fakouri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225148315 PECOS PAC ID: 0941304836 Enrollment ID: I20070403000056 |
| Provider Name | Julia D Nicholson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740415611 PECOS PAC ID: 2668660564 Enrollment ID: I20101220000342 |
| Provider Name | Amanda K Bickford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356649412 PECOS PAC ID: 2264615178 Enrollment ID: I20110330000065 |
| Provider Name | James R Atkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285977843 PECOS PAC ID: 4688993389 Enrollment ID: I20161115000494 |
| Provider Name | Anthony Paul Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770020521 PECOS PAC ID: 7911271689 Enrollment ID: I20170919001609 |
| Provider Name | Jim Carmical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194145607 PECOS PAC ID: 6103105119 Enrollment ID: I20171107000625 |
| Provider Name | Katelyn Carmical |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336534411 PECOS PAC ID: 9436412798 Enrollment ID: I20200603000019 |
| Provider Name | Linzy Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881285336 PECOS PAC ID: 8527475086 Enrollment ID: I20210329002090 |
Mmc2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Drive, Monticello, AR 71655 Phone: 870-367-6867 Fax: 870-367-1461 | |
University Of Arkansas At Monticello Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 663 University Drive, Monticello, AR 71656 Phone: 870-460-1058 | |
Jefferson Regional Monticello Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 Roberts Drive, Suite B, Monticello, AR 71655 Phone: 870-367-1461 | |
Drew Memorial Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 778 Scogin Dr, Monticello, AR 71655 Phone: 870-367-2411 Fax: 870-460-3562 | |
Sheiron Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 Roberts Dr, Monticello, AR 71655 Phone: 870-367-3246 Fax: 870-367-3271 | |
Grand Manor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1960 Highway 425 N, Monticello, AR 71655 Phone: 870-412-4400 Fax: 870-412-4506 |