| Pinnacle Physicians Group | |
|
1003 Schneider Dr Malvern AR 72104-4811 | |
| (501) 337-5678 | |
| (501) 332-6759 |
| Full Name | Pinnacle Physicians Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1003 Schneider Dr, Malvern, Arkansas |
| Authorized Official Name and Position | Absalom H Tilley (OWNER) |
| Authorized Official Contact | 5013375678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Physicians Group 1003 Schneider Dr Malvern AR 72104-4811 Ph: (501) 337-5678 | Pinnacle Physicians Group 1003 Schneider Dr Malvern AR 72104-4811 Ph: (501) 337-5678 |
| NPI Number | 1831108331 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 12/09/2020 |
| Medicare PECOS PAC ID | 1557301306 |
|---|---|
| Medicare Enrollment ID | O20050511000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831108331 | NPI | - | NPPES |
| 149122002 | Medicaid | AR |
| Provider Name | Nauman Yunus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487601712 PECOS PAC ID: 7911921994 Enrollment ID: I20060117000998 |
| Provider Name | Gina Zareena Khan Tilley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922230614 PECOS PAC ID: 2961558341 Enrollment ID: I20090928000086 |
| Provider Name | Angela E Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851411789 PECOS PAC ID: 1355597402 Enrollment ID: I20120806000938 |
| Provider Name | Briana L Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154727378 PECOS PAC ID: 4486977709 Enrollment ID: I20141217002066 |
| Provider Name | Gabrielle Elyse Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700459591 PECOS PAC ID: 4587068341 Enrollment ID: I20210802002445 |
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