Saint Francis-arkansas Physician Network, Llc | |
300 S Rhodes St West Memphis AR 72301-4215 | |
(870) 400-0433 | |
(870) 702-7069 |
Full Name | Saint Francis-arkansas Physician Network, Llc |
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Speciality | Family Medicine |
Location | 300 S Rhodes St, West Memphis, Arkansas |
Authorized Official Name and Position | Brian Rasmus (VP, CFO TPR TENET) |
Authorized Official Contact | 4698932532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saint Francis-arkansas Physician Network, Llc Po Box 22355 Belfast ME 04915-4475 Ph: (855) 270-2514 | Saint Francis-arkansas Physician Network, Llc 300 S Rhodes St West Memphis AR 72301-4215 Ph: (870) 400-0433 |
NPI Number | 1497278204 |
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Provider Enumeration Date | 07/24/2017 |
Last Update Date | 04/04/2024 |
Medicare PECOS PAC ID | 5496014607 |
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Medicare Enrollment ID | O20180116001821 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497278204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Diane Lum |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821077975 PECOS PAC ID: 7911989835 Enrollment ID: I20040603001513 |
Provider Name | Laura S Allen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831271493 PECOS PAC ID: 5597764423 Enrollment ID: I20061204000282 |
Provider Name | Pranab Das |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1528260460 PECOS PAC ID: 9638241441 Enrollment ID: I20121102000205 |
Provider Name | Indranill Basu Ray |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1538391446 PECOS PAC ID: 7012033947 Enrollment ID: I20171011001178 |
Provider Name | Glenn Allen Crosby |
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Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1760445241 PECOS PAC ID: 9830186998 Enrollment ID: I20190313000970 |
Provider Name | Supreeya Swarup |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1750679916 PECOS PAC ID: 5092044867 Enrollment ID: I20201016000169 |
Provider Name | Robyn Byrd Webb |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235721960 PECOS PAC ID: 7911315015 Enrollment ID: I20220711000266 |
Provider Name | Michaela Erin Oguin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972260545 PECOS PAC ID: 8628411642 Enrollment ID: I20240207000775 |
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