| Dr Lindsey N Walley, MD | |
|
110 N Clifton St, Fordyce, AR 71742-3025 | |
| (870) 352-3525 | |
| (870) 352-3533 |
| Full Name | Dr Lindsey N Walley |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 20 Years |
| Location | 110 N Clifton St, Fordyce, 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 |
|---|---|---|---|
| 1851470140 | NPI | - | NPPES |
| 168585001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E5091 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dallas County Medical Center | Fordyce, AR | Hospital |
| Bradley County Medical Center | Warren, AR | Hospital |
| Ouachita County Medical Center | Camden, AR | Hospital |
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| St Johns Place Of Arkansas, Llc | Fordyce, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ess Of Fordyce Llc | 1254611601 | 7 |
| Hospital Care Consultants Of Fordyce Llc | 5395024475 | 9 |
| Board Of Governors Of Dallas County Medical Center | 7416869300 | 7 |
| Entity Name | Board Of Governors Of Dallas County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043308935 PECOS PAC ID: 7416869300 Enrollment ID: O20040302000815 |
| Entity Name | Hospital Care Consultants Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
| Entity Name | Ess Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lindsey N Walley, MD 110 N Clifton St, Fordyce, AR 71742-3025 Ph: (870) 352-3525 | Dr Lindsey N Walley, MD 110 N Clifton St, Fordyce, AR 71742-3025 Ph: (870) 352-3525 |