<unavail> in Fort Smith, AR - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Fort Smith, Arkansas. The current practice location for is 623 S 21st St, Fort Smith, Arkansas. For appointments, you can reach them via phone at (479) 441-1500. The mailing address for is 623 S 21st St, Fort Smith, Arkansas and phone number is (479) 441-1500.

is licensed to practice in Arkansas (license number E-1751). The clinic also participates in the medicare program and its NPI number is 1205248259. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (479) 441-1500.

Contact Information


	623 S 21st St Fort Smith AR 72901-3914
	(479) 441-1500
	(479) 441-1502

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	623 S 21st St, Fort Smith, Arkansas
Authorized Official Name and Position	Thuylinh Ho Pham (PHYSICIAN)
Authorized Official Contact	4794411500
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
623 S 21st St Fort Smith AR 72901-3914 Ph: (479) 441-1500	623 S 21st St Fort Smith AR 72901-3914 Ph: (479) 441-1500

NPI Details:

NPI Number	1205248259
Provider Enumeration Date	05/27/2014
Last Update Date	05/27/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	7214151661
Medicare Enrollment ID	O20140605000542

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205248259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	E-1751 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Thuylinh H Pham
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1356396790 PECOS PAC ID: 7012994593 Enrollment ID: I20040701001516

Reviews and Comments

Internal Medicine in Fort Smith, AR

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- Medicare Primary Care in Fort Smith, AR