| Charles A Vermont, MD | |
|
1480 W 1st St N, Prescott, AR 71857-3339 | |
| (870) 887-2669 | |
| (870) 887-5373 |
| Full Name | Charles A Vermont |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1480 W 1st St N, Prescott, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912904251 | NPI | - | NPPES |
| 080103771 | Other | RAILROAD MEDICARE | |
| 112773001 | Medicaid | AR | |
| 127710000 | Other | AR | QUAL CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C7159 (Arkansas) | Primary |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932118890 PECOS PAC ID: 7911802079 Enrollment ID: O20040726000650 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Vermont, MD Po Box 550, Prescott, AR 71857-0550 Ph: (870) 887-2669 | Charles A Vermont, MD 1480 W 1st St N, Prescott, AR 71857-3339 Ph: (870) 887-2669 |
Dr. Michael Clarence Young, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Hale Ave, Prescott, AR 71857 Phone: 870-887-6651 Fax: 870-887-2008 | |
Dr. Sage Vermont Thurlby, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1480 W 1st St N, Prescott, AR 71857 Phone: 870-887-2669 Fax: 870-887-5373 | |
Thomas A Fox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1440 W 1st St N, Prescott, AR 71857 Phone: 870-887-8001 |