| New Boston Medical Group Llp | |
|
1801 Forest Hills Blvd Ste 131b Bella Vista AR 72715-3086 | |
| (479) 445-7906 | |
| Not Available |
| Full Name | New Boston Medical Group Llp |
|---|---|
| Speciality | Clinic/Center |
| Location | 1801 Forest Hills Blvd Ste 131b, Bella Vista, Arkansas |
| Authorized Official Name and Position | Donald Stratton Douglas (OWNER) |
| Authorized Official Contact | 9032789054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Boston Medical Group Llp 1801 Forest Hills Blvd Ste 131b Bella Vista AR 72715-3086 Ph: () - | New Boston Medical Group Llp 1801 Forest Hills Blvd Ste 131b Bella Vista AR 72715-3086 Ph: (479) 445-7906 |
| NPI Number | 1720706922 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Medicare PECOS PAC ID | 0446230635 |
|---|---|
| Medicare Enrollment ID | O20221216001688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720706922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Donald Stratton Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851385793 PECOS PAC ID: 4688659998 Enrollment ID: I20040621001865 |
Richard W. Miles, M.d. & Assoc., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Cambria Dr, Bella Vista, AR 72715 Phone: 479-876-2736 Fax: 888-331-2737 | |
Northwest Senior Health Center -- Bentonville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Forest Hills Blvd, Suite 6201, Bella Vista, AR 72715 Phone: 479-553-1000 Fax: 479-553-1900 | |
Feet Plus Of Arkansas Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2852 Bella Vista Way Street, Bella Vista, AR 72714 Phone: 479-268-3477 Fax: 479-268-3477 |