| Dr Clinton Avery Netherland, MD | |
|
1400 Pershing Hwy, Smackover, AR 71762-2300 | |
| (870) 725-3471 | |
| (870) 725-3471 |
| Full Name | Dr Clinton Avery Netherland |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 1400 Pershing Hwy, Smackover, 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 |
|---|---|---|---|
| 1235130444 | NPI | - | NPPES |
| 14266R | Other | LA | LA STATE MEDICAL LICENSE |
| 135730001 | Medicaid | AR | |
| 530572 | Other | AR | MEDICARE |
| E1883 | Other | AR | AR MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1883 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Arkansas Home Health | El dorado, AR | Home health agency |
| South Arkansas Regional Hospital Llc | El dorado, AR | Hospital |
| Ouachita County Medical Center | Camden, AR | Hospital |
| Ashley County Medical Center | Crossett, AR | Hospital |
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Entity Name | Clint a Netherland MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770036808 PECOS PAC ID: 2668769019 Enrollment ID: O20160928001807 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Avery Netherland, MD 1400 Pershing Hwy, Smackover, AR 71762-2300 Ph: (870) 725-3471 | Dr Clinton Avery Netherland, MD 1400 Pershing Hwy, Smackover, AR 71762-2300 Ph: (870) 725-3471 |
Dr. R Keith Davis Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Pershing Hwy, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3215 |