| Danny L Proffitt, MD | |
|
934 North Gaskill, Huntsville, AR 72740-1319 | |
| (479) 738-5500 | |
| (479) 738-1350 |
| Full Name | Danny L Proffitt |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 934 North Gaskill, Huntsville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306805379 | NPI | - | NPPES |
| 56362 | Other | AR | BCBS |
| 1160868 | Other | AR | FIRST HEALTH |
| 5046 | Other | AR | CIGNA |
| 13800000001 | Other | AR | QUAL CHOICE |
| 106373001 | Medicaid | AR | |
| 120653 | Other | AR | UNITED HEALTH CARE |
| 80118147 | Other | AR | RR MCR |
| 5758420 | Other | AR | AETNA |
| 341358 | Other | AR | HEALTH LINK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C-5443 (Arkansas) | Primary |
| Entity Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Danny L Proffitt, MD Po Box 1060, Marshall, AR 72650-1060 Ph: (870) 448-5101 | Danny L Proffitt, MD 934 North Gaskill, Huntsville, AR 72740-1319 Ph: (479) 738-5500 |
Carl E Vest, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 934 Norh Gaskill St, Huntsville, AR 72740 Phone: 479-738-5500 Fax: 479-738-1350 | |
Thomas Louie Embry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Phillips Place, Huntsville, AR 72740 Phone: 479-738-1700 Fax: 479-738-5510 | |
Travis Dale Embry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 934 North Gaskill, Huntsville, AR 72740 Phone: 479-738-5500 Fax: 479-738-1350 |