| Dr Alice Kennedy, MD | |
|
924 Main St, Conway, AR 72032-5424 | |
| (501) 327-4444 | |
| (501) 327-3962 |
| Full Name | Dr Alice Kennedy |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 10 Years |
| Location | 924 Main St, Conway, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396130555 | NPI | - | NPPES |
| 273545001 | Medicaid | AR | |
| E-13990 | Other | AR | ARKANSAS MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0107X | Ophthalmology - Retina Specialist | E-13990 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Magie Mabrey Eye Clinic P A | 5092609289 | 5 |
| Entity Name | Magie Mabrey Eye Clinic P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588648992 PECOS PAC ID: 5092609289 Enrollment ID: O20040210000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alice Kennedy, MD 9800 Baptist Health Dr, Little Rock, AR 72205-6229 Ph: (501) 223-8400 | Dr Alice Kennedy, MD 924 Main St, Conway, AR 72032-5424 Ph: (501) 327-4444 |
Melanie F. Smith, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 924 Main St, Conway, AR 72032 Phone: 501-327-4444 Fax: 501-327-3962 | |
David Littleton Baker Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 810 Merriman St, Conway, AR 72032 Phone: 501-329-3937 Fax: 501-932-7663 | |
Stephen Kyle Magie, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 924 Main St, Conway, AR 72032 Phone: 501-327-4444 Fax: 501-327-3962 | |
Justin Wayne Charton, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 924 Main St, Conway, AR 72032 Phone: 501-327-4444 |