| Barry D. Penney, Dc, Inc. | |
| 
					312 N 5th St, Blytheville, AR 72315-2702  | |
| (870) 762-4796 | |
| (870) 762-5036 | 
| Full Name | Barry D. Penney, Dc, Inc. | 
|---|---|
| Type | Facility | 
| Speciality | Chiropractor | 
| Location | 312 N 5th St, Blytheville, Arkansas | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821179466 | NPI | - | NPPES | 
| P00305651 | Other | AR | RAILROAD MEDICARE PIN | 
| 5F169 | Other | AR | BLUE CROSS/ BLUE SHIELD | 
| DE6379 | Other | AR | RAILROAD MEDICARE GROUP # | 
| 06010015700 | Other | AR | QUALCHOICE/QCA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | 1445 (Arkansas) | Primary | 
| Provider Name | Barry D Penney | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1932194081 PECOS PAC ID: 2264451194 Enrollment ID: I20051121000160  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Barry D. Penney, Dc, Inc. 312 N 5th St, Blytheville, AR 72315-2702 Ph: (870) 762-4796  | Barry D. Penney, Dc, Inc. 312 N 5th St, Blytheville, AR 72315-2702 Ph: (870) 762-4796  | 
Michael C Oldham, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 827 E Main St, Blytheville, AR 72315 Phone: 870-763-8155 Fax: 870-838-1589  | |
Oldham Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 827 E Main St, Blytheville, AR 72315 Phone: 870-763-8155 Fax: 870-838-1589  | |
Michael C Oldham D C P A Chiropractor Medicare: Medicare Enrolled Practice Location: 827 E Main St, Ste B, Blytheville, AR 72315 Phone: 870-763-8155 Fax: 870-838-1589  | |
Oldham Chiropratic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 827 E Main St, Blytheville, AR 72315 Phone: 870-763-8155 Fax: 870-838-1589  | |
Dr. Mark Edward Lazenby, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 506 Park St, Blytheville, AR 72315 Phone: 870-762-2825 Fax: 870-762-2825  | |
Dr. Barry D Penney, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 312 N 5th St, Blytheville, AR 72315 Phone: 870-762-4796 Fax: 870-762-5036  |