| Dr Adalberto R Fonticiella, MD | |
|
1000 West Kingshighway, Suite 12, Paragould, AR 72450-8894 | |
| (870) 236-6930 | |
| (870) 239-8065 |
| Full Name | Dr Adalberto R Fonticiella |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 44 Years |
| Location | 1000 West Kingshighway, Paragould, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922088269 | NPI | - | NPPES |
| 157456002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | C-6766 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | C-6766 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arkansas Methodist Medical Center | Paragould, AR | Hospital |
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Piggott Community Hospital | Piggott, AR | Hospital |
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Methodist Hospital Corporation | 6608780119 | 28 |
| Entity Name | Fonticiella Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649285511 PECOS PAC ID: 1850328691 Enrollment ID: O20050722000548 |
| Entity Name | Arkansas Hospitalist Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679955868 PECOS PAC ID: 1658681838 Enrollment ID: O20151102000088 |
| Entity Name | Arkansas Methodist Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205457405 PECOS PAC ID: 6608780119 Enrollment ID: O20200811000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Adalberto R Fonticiella, MD 1000 W Kingshighway, Suite 12, Paragould, AR 72450-4141 Ph: (870) 236-6930 | Dr Adalberto R Fonticiella, MD 1000 West Kingshighway, Suite 12, Paragould, AR 72450-8894 Ph: (870) 236-6930 |
William T Dement, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2420 Linwood Dr, Paragould, AR 72450 Phone: 870-236-9756 Fax: 870-236-9356 | |
Gabriella Gorton, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2420 Linwood Dr, Paragould, AR 72450 Phone: 870-936-8000 |