| Dr Benjamin Wagner Carlyle, MD | |
|
3150 E Heritage Pkwy Ste 1, Farmington, AR 72730-5529 | |
| (479) 400-1140 | |
| (479) 400-1151 |
| Full Name | Dr Benjamin Wagner Carlyle |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 3150 E Heritage Pkwy Ste 1, Farmington, 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 |
|---|---|---|---|
| 1184882383 | NPI | - | NPPES |
| 190430001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-7051 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | E-7051 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | E-7051 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arcare | 2567370620 | 193 |
| Entity Name | Arcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20031206000059 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Carlyle Care Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508675612 PECOS PAC ID: 2567990708 Enrollment ID: O20250115001934 |
| Entity Name | Prestige Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346032208 PECOS PAC ID: 3476072992 Enrollment ID: O20250528000836 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Wagner Carlyle, MD Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Dr Benjamin Wagner Carlyle, MD 3150 E Heritage Pkwy Ste 1, Farmington, AR 72730-5529 Ph: (479) 400-1140 |
Charles R Mills, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3150 E Heritage Pkwy, Farmington, AR 72730 Phone: 479-400-1140 Fax: 479-400-1151 |