| Ashish Mathur, MD | |
|
643 E 3rd St, Gentry, AR 72734-8258 | |
| (479) 736-2213 | |
| (479) 736-2105 |
| Full Name | Ashish Mathur |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 643 E 3rd St, Gentry, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245329663 | NPI | - | NPPES |
| P00620016 | Other | AR | MEDICARE RAILROAD ARKANSAS |
| 165673001 | Medicaid | AR | |
| 5N971 | Other | AR | BCBS OF ARKANSAS |
| 200096500B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24117 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | E5401 (Arkansas) | Primary |
| Entity Name | Integrated Community Clinics Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760440226 PECOS PAC ID: 2567361165 Enrollment ID: O20040102000477 |
| Entity Name | Circle Of Life |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386755460 PECOS PAC ID: 9335102896 Enrollment ID: O20101229000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashish Mathur, MD 643 E 3rd St, Po Box 9, Gentry, AR 72734-8258 Ph: (479) 736-2213 | Ashish Mathur, MD 643 E 3rd St, Gentry, AR 72734-8258 Ph: (479) 736-2213 |
John Elton Caswell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 643 E 3rd St, Gentry, AR 72734 Phone: 479-736-2213 Fax: 479-736-2105 | |
Mrs. Stefanie Fatemeh Barr, FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Mckee Dr, Gentry, AR 72734 Phone: 877-286-9799 |