| Regional Family Medicine Pa | |
|
630 Burnett Dr Mountain Home AR 72653-2941 | |
| (870) 425-6971 | |
| (870) 508-8900 |
| Full Name | Regional Family Medicine Pa |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 07/08/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5092758987 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174520688 PECOS PAC ID: 1658344148 Enrollment ID: I20040813000431 |
| Provider Name | George Stephen Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245237528 PECOS PAC ID: 2365462942 Enrollment ID: I20051128000577 |
| Provider Name | Michael Scott Hagaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104822634 PECOS PAC ID: 7416977095 Enrollment ID: I20051128000612 |
| Provider Name | Ronald Ford Bruton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033114566 PECOS PAC ID: 6204856883 Enrollment ID: I20051128000638 |
| Provider Name | Lonnie Stewart Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962408435 PECOS PAC ID: 6002836681 Enrollment ID: I20051128000662 |
| Provider Name | Mary L Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851484992 PECOS PAC ID: 1254425374 Enrollment ID: I20070920000471 |
| Provider Name | Christiana M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831282995 PECOS PAC ID: 1355410382 Enrollment ID: I20080516000636 |
| Provider Name | Corinne E Hiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063505147 PECOS PAC ID: 6507935541 Enrollment ID: I20080516000674 |
| Provider Name | Sharon J Pritchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215999016 PECOS PAC ID: 8123187770 Enrollment ID: I20081111000631 |
| Provider Name | Lori M Cheney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497712293 PECOS PAC ID: 0042213472 Enrollment ID: I20090302000339 |
| Provider Name | Andrea N Bounds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619296407 PECOS PAC ID: 2668613423 Enrollment ID: I20130722000274 |
| Provider Name | Meredith Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336695360 PECOS PAC ID: 3779861133 Enrollment ID: I20161107000167 |
| Provider Name | Sally K Hambelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407366768 PECOS PAC ID: 8123388725 Enrollment ID: I20180130001422 |
| Provider Name | Michelle R Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548931132 PECOS PAC ID: 4486043585 Enrollment ID: I20211111000059 |
Vitality Plus Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Hospital Dr, Mountain Home, AR 72653 Phone: 870-580-0283 Fax: 870-580-0297 | |
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 | |
Baxter Health Med-peds Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Medical Plz, Mountain Home, AR 72653 Phone: 870-424-3824 Fax: 870-424-3826 | |
The Relief Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Plaza Way Ste 30, Mountain Home, AR 72653 Phone: 870-492-5012 Fax: 870-492-5009 | |
Mtn Home Medical Group Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 353 East 8th Street, Mountain Home, AR 72653 Phone: 870-425-3125 Fax: 870-424-5059 | |
Brmc Transitional Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-6616 |