| Ouachita Family Practice Llc | |
|
1210 Dequeen St Mena AR 71953-4132 | |
| (479) 394-5068 | |
| (479) 394-5626 |
| Full Name | Ouachita Family Practice Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1210 Dequeen St, Mena, Arkansas |
| Authorized Official Name and Position | Debbie Kincaid (PRACTICE MANAGER) |
| Authorized Official Contact | 4793945068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ouachita Family Practice Llc Po Box 1788 Mena AR 71953-1781 Ph: (479) 394-5068 | Ouachita Family Practice Llc 1210 Dequeen St Mena AR 71953-4132 Ph: (479) 394-5068 |
| NPI Number | 1225289978 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 11/25/2013 |
| Medicare PECOS PAC ID | 4385705789 |
|---|---|
| Medicare Enrollment ID | O20081203000755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225289978 | NPI | - | NPPES |
| 5A866 | Other | AR | PTAN |
| 175314762 | Medicaid | AR | |
| 182122002 | Medicaid | AR | |
| 5U119 | Other | AR | PTAN |
| Provider Name | Lonnie Sessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518949429 PECOS PAC ID: 2961397112 Enrollment ID: I20040217001061 |
| Provider Name | Bill R Mccourtney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811985831 PECOS PAC ID: 5193784551 Enrollment ID: I20041011000185 |
| Provider Name | Debra Fairless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285805358 PECOS PAC ID: 7517039175 Enrollment ID: I20080716000419 |
| Provider Name | Ocean M Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184254765 PECOS PAC ID: 2769852672 Enrollment ID: I20230110000523 |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 College Dr, Mena, AR 71953 Phone: 479-394-1414 Fax: 877-775-6761 | |
Jmac Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste F, Mena, AR 71953 Phone: 479-437-6080 | |
Grannis Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Morrow St N, Mena, AR 71953 Phone: 870-385-2513 | |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Crestwood Cir, Mena, AR 71953 Phone: 479-394-7301 Fax: 479-394-7160 | |
Goodnight Family Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste E, Mena, AR 71953 Phone: 479-385-3055 Fax: 479-385-3054 | |
David P. Brown, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Highway 71 N, Mena, AR 71953 Phone: 479-394-3718 Fax: 479-394-7571 |