St Bernards Physician Clinics, Inc. | |
300 Carson St Jonesboro AR 72401-3104 | |
(870) 932-1198 | |
(870) 910-7700 |
Full Name | St Bernards Physician Clinics, Inc. |
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Speciality | Internal Medicine |
Location | 300 Carson St, Jonesboro, Arkansas |
Authorized Official Name and Position | John Lieblong (PRESIDENT) |
Authorized Official Contact | 8709327024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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St Bernards Physician Clinics, Inc. Po Box 1331 Jonesboro AR 72403-1331 Ph: (870) 932-7024 | St Bernards Physician Clinics, Inc. 300 Carson St Jonesboro AR 72401-3104 Ph: (870) 932-1198 |
NPI Number | 1407577216 |
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Provider Enumeration Date | 09/09/2022 |
Last Update Date | 09/09/2022 |
Medicare PECOS PAC ID | 7012311269 |
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Medicare Enrollment ID | O20230105000547 |
Identifier | Type | State | Issuer |
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1407577216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nancy L Bruce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922176569 PECOS PAC ID: 8921086059 Enrollment ID: I20050217000122 |
Provider Name | Dave K Jain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265540777 PECOS PAC ID: 3476631680 Enrollment ID: I20080428000636 |
Provider Name | Cole Peck |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1942225131 PECOS PAC ID: 0648222117 Enrollment ID: I20080814000516 |
Provider Name | Karen Peck |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1447275656 PECOS PAC ID: 3476452244 Enrollment ID: I20080814000525 |
Provider Name | James W Fletcher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407880644 PECOS PAC ID: 4284663493 Enrollment ID: I20080905000674 |
Provider Name | Andrea Michelle Cooper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093996134 PECOS PAC ID: 0749350510 Enrollment ID: I20120815000801 |
Provider Name | James R Maxwell |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1689714024 PECOS PAC ID: 7618008764 Enrollment ID: I20120827000534 |
Provider Name | Clinton B Edwards |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1386611598 PECOS PAC ID: 0547206211 Enrollment ID: I20130501000627 |
Provider Name | Gary M Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962844522 PECOS PAC ID: 4486898905 Enrollment ID: I20130923000484 |
Provider Name | Savannah Coin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043692528 PECOS PAC ID: 6901118249 Enrollment ID: I20150630000729 |
Provider Name | Tracey L Riney |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861927337 PECOS PAC ID: 5092085530 Enrollment ID: I20170717002159 |
Provider Name | Ezekiel E Shotts |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679715130 PECOS PAC ID: 3577757756 Enrollment ID: I20180816001808 |
Provider Name | Victoria L Gamble |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629201710 PECOS PAC ID: 3375689680 Enrollment ID: I20181006000219 |
Provider Name | Emma Suzette Lamberson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598168544 PECOS PAC ID: 3173745437 Enrollment ID: I20190116002860 |
Provider Name | Kirk A Coward |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356638290 PECOS PAC ID: 1658541875 Enrollment ID: I20190510001959 |
Provider Name | Michael A Gossett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811541964 PECOS PAC ID: 6608104724 Enrollment ID: I20190827001660 |
Provider Name | Mohammed A Alhajji |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1962729970 PECOS PAC ID: 0941443220 Enrollment ID: I20200617002305 |
Provider Name | Taylor R Cope |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538818018 PECOS PAC ID: 2365839941 Enrollment ID: I20221020000731 |
Provider Name | Autumn Lynnette Allgood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932824950 PECOS PAC ID: 9335516509 Enrollment ID: I20221031002204 |
Provider Name | Regina A Strop |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356793905 PECOS PAC ID: 5193019560 Enrollment ID: I20231002002149 |
Provider Name | Lauren E Cude |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063949345 PECOS PAC ID: 6103184023 Enrollment ID: I20231114000130 |
Provider Name | Bridgette L. Fender |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922622505 PECOS PAC ID: 8820417025 Enrollment ID: I20231213002181 |
Men & Womens Premier Health Solutions Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 E Johnson Ave Ste T, Jonesboro, AR 72401 Phone: 870-333-5488 Fax: 870-333-5442 | |
Raising The Standards Of Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 361 Southwest Dr Ste 771, Jonesboro, AR 72401 Phone: 870-559-5006 | |
Jason R. Casey, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Osler Dr, Suite B, Jonesboro, AR 72401 Phone: 870-931-7383 Fax: 870-931-7353 | |
Gl Cranfill Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 E Matthews, Ste C, Jonesboro, AR 72401 Phone: 870-802-3548 Fax: 870-802-2568 | |
Arcare 59 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 E Washington Ave, Jonesboro, AR 72401 Phone: 870-333-5476 Fax: 870-333-5475 | |
Arkeaccess Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3024 Red Wolf Blvd, Jonesboro, AR 72401 Phone: 870-926-1198 | |
Mid-south Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4050 |