<unavail> in Lowell, AR - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Lowell, Arkansas. The current practice location for is 212 W Monroe Ave Ste B, Lowell, Arkansas. For appointments, you can reach them via phone at (479) 770-4100. The mailing address for is 439 E Redbud Ln, Fayetteville, Arkansas and phone number is (479) 770-4100.

is licensed to practice in Arkansas (license number C6864). The clinic also participates in the medicare program and its NPI number is 1871896373. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (479) 770-4100.

Contact Information


	212 W Monroe Ave Ste B Lowell AR 72745-9451
	(479) 770-4100
	(479) 770-0262

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	212 W Monroe Ave Ste B, Lowell, Arkansas
Authorized Official Name and Position	Mark F Olsen (OFFICE MANAGER)
Authorized Official Contact	4797704100
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
439 E Redbud Ln Fayetteville AR 72703-3959 Ph: (479) 770-4100	212 W Monroe Ave Ste B Lowell AR 72745-9451 Ph: (479) 770-4100

NPI Details:

NPI Number	1871896373
Provider Enumeration Date	12/06/2010
Last Update Date	10/13/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	2466635636
Medicare Enrollment ID	O20110324000952

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871896373	NPI	-	NPPES
5G789	Other	AR	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Secondary
261QP2300X	Clinic/center - Primary Care	C6864 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Mark F Olsen
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1831108430 PECOS PAC ID: 3173508900 Enrollment ID: I20040623001661

Reviews and Comments

Clinic/Center in Lowell, AR

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 W Monroe Ave, Suite P, Lowell, AR 72745 Phone: 479-770-0221 Fax: 866-497-4412
Petty Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Harrison Ave, Suite C, Lowell, AR 72745 Phone: 479-254-1005 Fax: 479-668-4003
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 113 Parkwood St Ste A, Lowell, AR 72745 Phone: 479-361-8601
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 W Monroe Ave Ste B, Lowell, AR 72745 Phone: 479-365-7100 Fax: 877-612-6228
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Harrison Ave, Suite B, Lowell, AR 72745 Phone: 479-770-4343 Fax: 866-760-0047
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 W Monroe Ave, Suite A, Lowell, AR 72745 Phone: 479-463-8150

- Medicare Primary Care in Lowell, AR