Pain Treatment Centers Of America, Pllc - Medicare Primary Care in Little Rock, AR

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Pain Treatment Centers Of America, Pllc is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Little Rock, Arkansas. The current practice location for Pain Treatment Centers Of America, Pllc is 108 N Shackleford Rd, Little Rock, Arkansas. For appointments, you can reach them via phone at (501) 712-2571. The mailing address for Pain Treatment Centers Of America, Pllc is 108 N Shackleford Rd, Little Rock, Arkansas and phone number is (501) 712-2571.

Pain Treatment Centers Of America, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1841619731. 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 (501) 712-2571.

Contact Information

Pain Treatment Centers Of America, Pllc
108 N Shackleford Rd
Little Rock
AR 72211-2840
(501) 712-2571
(501) 404-7789

Map and Direction


Primary Care Clinic Profile

Full NamePain Treatment Centers Of America, Pllc
SpecialityClinic/Center
Location108 N Shackleford Rd, Little Rock, Arkansas
Authorized Official Name and PositionMeraj Siddiqui (OWNER)
Authorized Official Contact5017714693
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pain Treatment Centers Of America, Pllc
108 N Shackleford Rd
Little Rock
AR 72211-2840

Ph: (501) 712-2571		Pain Treatment Centers Of America, Pllc
108 N Shackleford Rd
Little Rock
AR 72211-2840

Ph: (501) 712-2571

NPI Details:

NPI Number1841619731
Provider Enumeration Date04/08/2014
Last Update Date11/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2769608819
Medicare Enrollment IDO20140725000128

Medical Identifiers

Medical identifiers for Pain Treatment Centers Of America, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841619731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Pain Treatment Centers Of America, Pllc acts as a billing entity for following providers:
Provider NameTeddy D Shields
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1972666147
PECOS PAC ID: 7012800121
Enrollment ID: I20040203001012
Provider NameJames Michael Calhoun
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1376531814
PECOS PAC ID: 9335130962
Enrollment ID: I20040521000286
Provider NameJulio R Olaya
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1285724757
PECOS PAC ID: 2466431481
Enrollment ID: I20040714001105
Provider NameMikhail Y Ivanovsky
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1598810244
PECOS PAC ID: 0042253601
Enrollment ID: I20050603001051
Provider NameMeraj N Siddiqui
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1114973922
PECOS PAC ID: 4789608266
Enrollment ID: I20060606000161
Provider NameTerry Fletcher
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1851443832
PECOS PAC ID: 4284730623
Enrollment ID: I20070502000174
Provider NameRobert Baker
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1013069699
PECOS PAC ID: 0840381034
Enrollment ID: I20070801000845
Provider NameJames Hunt
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1013136340
PECOS PAC ID: 2769575455
Enrollment ID: I20070911000931
Provider NameFrances K Ketz
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1043299332
PECOS PAC ID: 2163414806
Enrollment ID: I20071204000412
Provider NameJoseph R Jansen
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1376556746
PECOS PAC ID: 0648321448
Enrollment ID: I20090707000361
Provider NameRonald E Tilley
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1982823225
PECOS PAC ID: 9830235837
Enrollment ID: I20091005000743
Provider NameAdrienne E Friedly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407170889
PECOS PAC ID: 3072643428
Enrollment ID: I20100610000807
Provider NameKeith E Brown
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114923166
PECOS PAC ID: 0042346298
Enrollment ID: I20101112001195
Provider NameAnna N. Rinewalt
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1720289945
PECOS PAC ID: 9830367762
Enrollment ID: I20110720000781
Provider NameCindy Rossetti
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811150303
PECOS PAC ID: 8426228834
Enrollment ID: I20110823000099
Provider NameJaclyn J Cooper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851697197
PECOS PAC ID: 3274791173
Enrollment ID: I20120223000523
Provider NameVenecia M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619306537
PECOS PAC ID: 3375774490
Enrollment ID: I20140402001185
Provider NameCarol Mccourt
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1558337915
PECOS PAC ID: 3072641752
Enrollment ID: I20140522000460
Provider NameKristy L Thompson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063835064
PECOS PAC ID: 5698999548
Enrollment ID: I20140616000290
Provider NameLaura M Weatherford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861744773
PECOS PAC ID: 8123247616
Enrollment ID: I20140916000595
Provider NameHoward R Bromley
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1760448898
PECOS PAC ID: 2567456692
Enrollment ID: I20141022000579
Provider NameLori L Rotton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427462449
PECOS PAC ID: 6103048657
Enrollment ID: I20141118000071
Provider NameJeffrey M Deaver
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1821435439
PECOS PAC ID: 6103048699
Enrollment ID: I20141118001723
Provider NameBreann N Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386035962
PECOS PAC ID: 2466773858
Enrollment ID: I20150702000211
Provider NameGautam K Gandhi
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1558505172
PECOS PAC ID: 0840516647
Enrollment ID: I20160706002638
Provider NameNoemi E Salang Ramsay
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1508822735
PECOS PAC ID: 5890821359
Enrollment ID: I20160810000474
Provider NameAngel Samuel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699224766
PECOS PAC ID: 7416235783
Enrollment ID: I20161021000503
Provider NameReid C Parnell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053861807
PECOS PAC ID: 0244511871
Enrollment ID: I20161220000076
Provider NameKayla Beth Ingram-smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144771296
PECOS PAC ID: 8022392521
Enrollment ID: I20170301000456
Provider NameHoney Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083150304
PECOS PAC ID: 5092099218
Enrollment ID: I20170307000245
Provider NameHeather L Whaley
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1487098190
PECOS PAC ID: 7911224183
Enrollment ID: I20170803000475
Provider NameChristian D Simmons
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1619234366
PECOS PAC ID: 5597082834
Enrollment ID: I20170815002255
Provider NameKyla Rae Shelton Lang
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1275859076
PECOS PAC ID: 6103134291
Enrollment ID: I20171205000614
Provider NameChanel Dominque Bullock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346752151
PECOS PAC ID: 8325307879
Enrollment ID: I20180109001711
Provider NameMelissa Ann Gibbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194223891
PECOS PAC ID: 8022378199
Enrollment ID: I20180209001161
Provider NameBeth L Craft
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962630947
PECOS PAC ID: 3375550635
Enrollment ID: I20180302000960
Provider NameOlivia K Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194232439
PECOS PAC ID: 6406117621
Enrollment ID: I20180305002046
Provider NameSameer Jain
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1932548344
PECOS PAC ID: 8123391687
Enrollment ID: I20180611002361
Provider NameStephanie Michele Hulett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356884647
PECOS PAC ID: 9537416805
Enrollment ID: I20180717003718
Provider NameAshley Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083182968
PECOS PAC ID: 3779827514
Enrollment ID: I20181204003630
Provider NameKalenda Kasangana
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1942447149
PECOS PAC ID: 9931494697
Enrollment ID: I20190117002035
Provider NameAmanda B Dunavant
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861964447
PECOS PAC ID: 7214274190
Enrollment ID: I20190130002725
Provider NameDelana Meeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851858757
PECOS PAC ID: 9032459508
Enrollment ID: I20190320000101
Provider NameAmanda R Masters-stephens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629536255
PECOS PAC ID: 9931441250
Enrollment ID: I20190506002767
Provider NameTara Rae Sandusky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063069326
PECOS PAC ID: 8325370539
Enrollment ID: I20191021002200
Provider NameMohammed A Khanzada
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1639143829
PECOS PAC ID: 9739376922
Enrollment ID: I20200107000551
Provider NameRachel Nicole Mccrary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609410232
PECOS PAC ID: 4183053390
Enrollment ID: I20200408003746
Provider NameKatrina Leann Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548896962
PECOS PAC ID: 1456782101
Enrollment ID: I20200512003166
Provider NameBrian Ibrahim Malki
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1346620697
PECOS PAC ID: 5193027811
Enrollment ID: I20200521002405
Provider NameTraci Lynne Spurlock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548872302
PECOS PAC ID: 5294152849
Enrollment ID: I20200828000268
Provider NameAndrew C Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801409297
PECOS PAC ID: 2668890906
Enrollment ID: I20200917002552
Provider NameJenette Kern
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225682768
PECOS PAC ID: 2567898737
Enrollment ID: I20201110003431
Provider NameYinan Chen
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1033506514
PECOS PAC ID: 1951647965
Enrollment ID: I20201111002307
Provider NameEmily M Allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316546138
PECOS PAC ID: 6204247406
Enrollment ID: I20201119000594
Provider NameYvette Ramirez Silvey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104410067
PECOS PAC ID: 6709293038
Enrollment ID: I20210401001300
Provider NameChelsea Winemiller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952993925
PECOS PAC ID: 0446668438
Enrollment ID: I20210412001039
Provider NameChristopher Rigsby
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659823219
PECOS PAC ID: 1254733876
Enrollment ID: I20210706000804
Provider NameAllison Gage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790380574
PECOS PAC ID: 9830595735
Enrollment ID: I20210901000379
Provider NameJenny L Mitchell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851058804
PECOS PAC ID: 9537551882
Enrollment ID: I20220118000630
Provider NameMichael A Cowan
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1326046186
PECOS PAC ID: 6901980606
Enrollment ID: I20220609001116
Provider NameKaylin M Cesarski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568090959
PECOS PAC ID: 3476975335
Enrollment ID: I20230705003085
Provider NameAmir Amidi
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1306475470
PECOS PAC ID: 7719309913
Enrollment ID: I20230731000559
Provider NameBrittany Hefley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851085773
PECOS PAC ID: 4981058401
Enrollment ID: I20231002001756
Provider NameJordan R Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912788274
PECOS PAC ID: 1355791112
Enrollment ID: I20231220002541
Provider NameDennis D Mccoy
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1700818804
PECOS PAC ID: 8921002197
Enrollment ID: I20231228002255
Provider NameLindsey V Estes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1972383651
PECOS PAC ID: 4284084443
Enrollment ID: I20231229001817
Provider NameGlynn Nooner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1124575295
PECOS PAC ID: 2163860180
Enrollment ID: I20240409003828
Provider NameWhitley Richardson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1659828796
PECOS PAC ID: 7416396775
Enrollment ID: I20240418003847
Provider NameAleah B Curley
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790397537
PECOS PAC ID: 9830530724
Enrollment ID: I20240509001208

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.