| South Arkansas Physician Group Llc | |
|
620 W Grove St Ste 202 El Dorado AR 71730-4425 | |
| (870) 863-2000 | |
| Not Available |
| Full Name | South Arkansas Physician Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 620 W Grove St Ste 202, El Dorado, Arkansas |
| Authorized Official Name and Position | Brian W Jones (PRESIDENT/CEO) |
| Authorized Official Contact | 5012232776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Arkansas Physician Group Llc 2299 Champagnolle Rd El Dorado AR 71730-4841 Ph: (870) 881-9015 | South Arkansas Physician Group Llc 620 W Grove St Ste 202 El Dorado AR 71730-4425 Ph: (870) 863-2000 |
| NPI Number | 1285325969 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 11/16/2023 |
| Medicare PECOS PAC ID | 4486002151 |
|---|---|
| Medicare Enrollment ID | O20231120001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285325969 | NPI | - | NPPES |
| Provider Name | Martha G Garrett Shaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740274448 PECOS PAC ID: 8527971159 Enrollment ID: I20031110000677 |
| Provider Name | Joseph A Deluca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417969478 PECOS PAC ID: 9335146844 Enrollment ID: I20061025000752 |
| Provider Name | Robert L Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508837006 PECOS PAC ID: 0446316350 Enrollment ID: I20090302000228 |
| Provider Name | Julie N Wylie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932377256 PECOS PAC ID: 1456546803 Enrollment ID: I20101110001208 |
| Provider Name | Tiffany Dawn Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295185106 PECOS PAC ID: 0345473344 Enrollment ID: I20160913000811 |
| Provider Name | Thomas Kennedy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396273173 PECOS PAC ID: 2567712904 Enrollment ID: I20220729000032 |
| Provider Name | Raymond Ross |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477529212 PECOS PAC ID: 7618031436 Enrollment ID: I20240612001766 |
The Hannah Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Main St, Suite 201, El Dorado, AR 71730 Phone: 870-862-1317 Fax: 870-862-4297 | |
Uams Health Primary Care Center - El Dorado Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W Grove St Ste 202, El Dorado, AR 71730 Phone: 870-234-7676 Fax: 870-562-2560 | |
Cabun Rural Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Dr. Mlk Jr. Blvd, El Dorado, AR 71730 Phone: 870-639-3875 Fax: 870-798-4100 | |
Remel Buslig Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Doe Meadow Ln, El Dorado, AR 71730 Phone: 870-864-0913 Fax: 870-864-0913 | |
William L. Harper, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Oak St, El Dorado, AR 71730 Phone: 870-863-5135 Fax: 870-863-5137 | |
Greg Smart Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Thompson Ave, El Dorado, AR 71730 Phone: 870-864-0333 Fax: 870-864-0336 |