Conway Regional Medical Center Inc is a medicare enrolled "Otolaryngology" provider in Conway, Arkansas. Their current practice location is
525 Western Ave Ste 302a, Conway, Arkansas. You can reach out to their office (for appointments etc.) via phone at
(501) 205-8095.
Conway Regional Medical Center Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Conway Regional Medical Center Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1184454399.
Healthcare Provider's Profile
| Full Name | Conway Regional Medical Center Inc |
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| Type | Facility |
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| Speciality | Otolaryngology |
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| Location | 525 Western Ave Ste 302a, Conway, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184454399
- Provider Enumeration Date: 08/02/2024
- Last Update Date: 05/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173428414
- Enrollment ID: O20240826001054
Medical Identifiers
Medical identifiers for Conway Regional Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184454399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Conway Regional Medical Center Inc acts as a billing entity for following providers:
| Provider Name | Phillip Scott Ballinger |
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| Provider Type | Practitioner - Otolaryngology |
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| Provider Identifiers | NPI Number: 1174571749
PECOS PAC ID: 9234154121
Enrollment ID: I20051010000930 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Conway Regional Medical Center Inc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Conway Regional Medical Center Inc
Po Box 9662,
Conway, AR 72033-9662
Ph: (501) 852-1363 | Conway Regional Medical Center Inc
525 Western Ave Ste 302a,
Conway, AR 72034-4981
Ph: (501) 205-8095 |
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