| Ozark Senior Healthcare, Pllc | |
|
210 S Thompson St Ste 4a Springdale AR 72764-4261 | |
| (794) 459-9004 | |
| (479) 213-8142 |
| Full Name | Ozark Senior Healthcare, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 S Thompson St Ste 4a, Springdale, Arkansas |
| Authorized Official Name and Position | Bilal E Naeem (MANAGER) |
| Authorized Official Contact | 4799271044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Senior Healthcare, Pllc Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Ozark Senior Healthcare, Pllc 210 S Thompson St Ste 4a Springdale AR 72764-4261 Ph: (794) 459-9004 |
| NPI Number | 1124347380 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 6406989862 |
|---|---|
| Medicare Enrollment ID | O20100805000419 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124347380 | NPI | - | NPPES |
| 148445001 | Medicaid | AR | |
| P00853324 | Other | MEDICARE RAILROAD / PALMETTO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | E03402 (Arkansas) | Primary |
| Provider Name | Michael L Moulton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558397489 PECOS PAC ID: 6709842107 Enrollment ID: I20050512000964 |
| Provider Name | Bilal Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316901994 PECOS PAC ID: 1951315811 Enrollment ID: I20060130000863 |
| Provider Name | Kimberly D Burner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487704524 PECOS PAC ID: 8729263926 Enrollment ID: I20110504000191 |
| Provider Name | Kristyn Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265094478 PECOS PAC ID: 2466781810 Enrollment ID: I20190910001740 |
| Provider Name | Stephanie Np Burks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063102994 PECOS PAC ID: 5698132744 Enrollment ID: I20230605001202 |
Jones School Based Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 South Powell Street, Springdale, AR 72764 Phone: 479-750-8865 Fax: 479-751-2878 | |
Medexpress Primary Care - Springdale Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 S 40th St, Springdale, AR 72762 Phone: 479-756-1702 Fax: 479-756-1742 | |
Shiloh Clinic Washington Regional Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 N Shiloh St, Springdale, AR 72764 Phone: 479-419-9902 Fax: 479-419-9950 | |
Northwest Arkansas Clinic For Families, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 W Robinson Ave, Springdale, AR 72764 Phone: 479-751-8440 Fax: 479-751-8417 | |
Metro Springdale Treatment Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1670 W Sunset Ave, Ste B, Springdale, AR 72762 Phone: 479-725-2555 Fax: 479-725-2562 | |
Springdale Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3291 S Thompson St, D101, Springdale, AR 72764 Phone: 479-419-9955 |