Wynne Physicians Clinic Llc | |
710 Falls Blvd S Wynne AR 72396-3514 | |
(870) 238-2321 | |
(870) 238-0114 |
Full Name | Wynne Physicians Clinic Llc |
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Speciality | Family Medicine |
Location | 710 Falls Blvd S, Wynne, 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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Wynne Physicians Clinic Llc Po Box 1331 Jonesboro AR 72403-1331 Ph: (870) 932-7024 | Wynne Physicians Clinic Llc 710 Falls Blvd S Wynne AR 72396-3514 Ph: (870) 238-2321 |
NPI Number | 1710517677 |
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Provider Enumeration Date | 01/20/2020 |
Last Update Date | 01/20/2020 |
Medicare PECOS PAC ID | 2769810464 |
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Medicare Enrollment ID | O20200317000293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710517677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mark S Bradshaw |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346355518 PECOS PAC ID: 0143220996 Enrollment ID: I20070102000161 |
Provider Name | Willard G Burks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619082310 PECOS PAC ID: 4385644061 Enrollment ID: I20100826001214 |
Provider Name | James Donald Cathey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235244955 PECOS PAC ID: 3274592514 Enrollment ID: I20100924000773 |
Provider Name | James T Beaton |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952416653 PECOS PAC ID: 8921008608 Enrollment ID: I20101115000103 |
Provider Name | Jeremiah Eugene Nugent |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659735421 PECOS PAC ID: 2163750852 Enrollment ID: I20190819003216 |
Provider Name | Elizabeth P Bradshaw |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1235295866 PECOS PAC ID: 1052504131 Enrollment ID: I20200325000526 |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 305 S Falls Blvd, Wynne, AR 72396 Phone: 870-362-3218 Fax: 870-362-3219 | |
Urgent Team Of Arkansas Physicians, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 411 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-3261 Fax: 870-238-3115 | |
Wynne Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-2321 Fax: 870-238-0114 | |
Arcare 60 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Julia Ave E, Wynne, AR 72396 Phone: 870-238-0377 Fax: 978-327-7979 | |
Wynne Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-2321 Fax: 870-238-0114 | |
Wynne Medical Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Falls Blvd S, Wynne, AR 72396 Phone: 870-238-2321 Fax: 870-238-0114 | |
Harmony Health Clinic Wynne, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1920 Falls Blvd N, Wynne, AR 72396 Phone: 870-587-0800 |