North Little Rock Primary Care And Diagnostic Clinic Pllc | |
400 W Pershing Blvd N Little Rock AR 72114-2146 | |
(501) 771-7717 | |
(501) 771-0550 |
Full Name | North Little Rock Primary Care And Diagnostic Clinic Pllc |
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Speciality | Family Medicine |
Location | 400 W Pershing Blvd, N Little Rock, Arkansas |
Authorized Official Name and Position | Derek Lewis (PRESIDENT) |
Authorized Official Contact | 5017717717 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Little Rock Primary Care And Diagnostic Clinic Pllc 400 W Pershing Blvd N Little Rock AR 72114-2146 Ph: (501) 771-7717 | North Little Rock Primary Care And Diagnostic Clinic Pllc 400 W Pershing Blvd N Little Rock AR 72114-2146 Ph: (501) 771-7717 |
NPI Number | 1306877576 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 01/03/2017 |
Medicare PECOS PAC ID | 0749462786 |
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Medicare Enrollment ID | O20110311000227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306877576 | NPI | - | NPPES |
5B979 | Other | AR | BLUE CROSS |
133705002 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Derek Lewis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407810641 PECOS PAC ID: 8022903020 Enrollment ID: I20071120000713 |
Provider Name | Rose Marie Shaw Bullock |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790749943 PECOS PAC ID: 5597933473 Enrollment ID: I20110720000246 |
Provider Name | Vincent T Morgan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235770942 PECOS PAC ID: 1658786751 Enrollment ID: I20210224000012 |
Lakewood Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Fairway Ave, Suite D, N Little Rock, AR 72116 Phone: 501-975-3616 Fax: 501-975-6705 | |
Govinda Lohani Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4020 Richards Rd Ste C, N Little Rock, AR 72117 Phone: 501-379-8115 Fax: 501-379-8075 |