Regional Family Medicine Pa | |
630 Burnett Dr Mountain Home AR 72653-2941 | |
(870) 425-6971 | |
(870) 508-8900 |
Full Name | Regional Family Medicine Pa |
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Speciality | Family Medicine |
Location | 630 Burnett Dr, Mountain Home, Arkansas |
Authorized Official Name and Position | John Gregory Elders (CEO) |
Authorized Official Contact | 8704256971 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Regional Family Medicine Pa 630 Burnett Dr Mountain Home AR 72653-2941 Ph: (870) 425-6971 | Regional Family Medicine Pa 630 Burnett Dr Mountain Home AR 72653-2941 Ph: (870) 425-6971 |
NPI Number | 1003814609 |
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Provider Enumeration Date | 07/08/2005 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 5092758987 |
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Medicare Enrollment ID | O20050602000588 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003814609 | NPI | - | NPPES |
121500001 | Medicaid | AR | |
5F307 | Other | AR | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Arkansas) | Primary |
Provider Name | John Gregory Elders |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174520688 PECOS PAC ID: 1658344148 Enrollment ID: I20040813000431 |
Provider Name | George Stephen Lawrence |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245237528 PECOS PAC ID: 2365462942 Enrollment ID: I20051128000577 |
Provider Name | Michael Scott Hagaman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104822634 PECOS PAC ID: 7416977095 Enrollment ID: I20051128000612 |
Provider Name | Ronald Ford Bruton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033114566 PECOS PAC ID: 6204856883 Enrollment ID: I20051128000638 |
Provider Name | Corinne E Hiser |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063505147 PECOS PAC ID: 6507935541 Enrollment ID: I20080516000674 |
Provider Name | Sharon J Pritchard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215999016 PECOS PAC ID: 8123187770 Enrollment ID: I20081111000631 |
Provider Name | Andrea N Bounds |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619296407 PECOS PAC ID: 2668613423 Enrollment ID: I20130722000274 |
Provider Name | Hannah E Caststeel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225484512 PECOS PAC ID: 3779873161 Enrollment ID: I20160525002813 |
Provider Name | Michelle R Sharp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548931132 PECOS PAC ID: 4486043585 Enrollment ID: I20211111000059 |
Provider Name | Hannah G Mccarthy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972124337 PECOS PAC ID: 9032585617 Enrollment ID: I20230828000842 |
Provider Name | Alex S Hagaman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437738879 PECOS PAC ID: 8022555390 Enrollment ID: I20240805000984 |
Yourpersonalmd.com Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S College St, Suite 3, Mountain Home, AR 72653 Phone: 870-424-9763 Fax: 870-424-9762 | |