| Lee W. Hodge D.c. P.a. | |
| 
					1214 Hogan Ln, Ste 200, Conway, AR 72034-8002  | |
| (501) 329-2774 | |
| Not Available | 
| Full Name | Lee W. Hodge D.c. P.a. | 
|---|---|
| Type | Facility | 
| Speciality | Chiropractor | 
| Location | 1214 Hogan Ln, Conway, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093801342 | NPI | - | NPPES | 
| 44-20060 | Other | AR | UNITED HEALTH CARE | 
| 5T646 | Other | AR | BLUE ADVANTAGE | 
| P00228479 | Other | GA | MEDICARE (RAILROAD) | 
| 5T646 | Other | AR | BLUE CROSS BLUE SHEILD | 
| 18895000040 | Other | AR | QCA | 
| 5T646 | Other | AR | HEALTH ADVANTAGE | 
| S02725 | Other | AR | NOVA SYSTEMS | 
| 7211190 | Other | AR | AETNA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | 1439 (Arkansas) | Primary | 
| Provider Name | Lee W Hodge | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1063492403 PECOS PAC ID: 7214112465 Enrollment ID: I20110503000517  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lee W. Hodge D.c. P.a. Po Box 1600, Conway, AR 72033-1600 Ph: (501) 329-2774  | Lee W. Hodge D.c. P.a. 1214 Hogan Ln, Ste 200, Conway, AR 72034-8002 Ph: (501) 329-2774  | 
Mr. Jaymond Ryan Clark, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2100 Meadowlake Rd Ste 10, Conway, AR 72032 Phone: 501-513-3322 Fax: 501-513-3065  | |
Power Spine & Sport Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 2655 Donaghey Ave Ste 101, Conway, AR 72032 Phone: 501-459-5010  | |
Dr. Tara Lynn Gardner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 813 Oak St, Suite 7, Conway, AR 72032 Phone: 501-329-2700 Fax: 501-329-5282  | |
Dr. Lee W Hodge, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 797 Teal Drive, Conway, AR 72034 Phone: 501-329-2774 Fax: 501-327-0907  | |
Conway Injury Center Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2915 Dave Ward Dr, Suite 8, Conway, AR 72034 Phone: 501-205-1933 Fax: 501-358-5004  | |
Dr. Thomas Ethan Hall, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 675 Dave Ward Dr Ste 105, Conway, AR 72034 Phone: 501-504-6280  | |
Gardner Chiropractic Clinic, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 813 Oak Street, Suite 7, Conway, AR 72032 Phone: 501-329-2700 Fax: 501-329-5282  |