| Dr Charles Clifton, MD | |
|
55a South Broadview, Greenbrier, AR 72058-9475 | |
| (501) 679-4030 | |
| (501) 679-4037 |
| Full Name | Dr Charles Clifton |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 55a South Broadview, Greenbrier, 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 |
|---|---|---|---|
| 1366554743 | NPI | - | NPPES |
| 13149000000 | Other | AR | QUAL CHOICE |
| 710781138 | Other | TAX ID | |
| 115622001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C7658 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | C7608 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Regional Health System | Conway, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Health Group | 7911802079 | 579 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063705218 PECOS PAC ID: 7911802079 Enrollment ID: O20110718000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Clifton, MD Po Box 596, Greenbrier, AR 72058-0596 Ph: (501) 679-4030 | Dr Charles Clifton, MD 55a South Broadview, Greenbrier, AR 72058-9475 Ph: (501) 679-4030 |
Reagan Garber, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 N Broadview St, Greenbrier, AR 72058 Phone: 501-679-3551 Fax: 501-679-4536 | |
Dr. James R Fulmer Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 N Broadview St, Greenbrier, AR 72058 Phone: 501-679-3551 | |
Dr. Alyson Michele Fish, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 25 Business Park, Greenbrier, AR 72058 Phone: 501-679-3998 Fax: 501-708-2538 | |
Dr. Gary Wayne Bowman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 55a S Broadview, Greenbrier, AR 72058 Phone: 501-679-4030 Fax: 501-679-4037 |