| Dr Mark S Hahn, DO | |
|
104 West State St, Caraway, AR 72419 | |
| (870) 956-0200 | |
| (876) 895-2164 |
| Full Name | Dr Mark S Hahn |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 104 West State St, Caraway, 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 |
|---|---|---|---|
| 1609895911 | NPI | - | NPPES |
| 2006015245 | Other | MO | MISSOURI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2006015245 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | E4159 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great River Medical Center | Blytheville, AR | Hospital |
| Willowbend Healthcare And Rehabilitation | Marion, AR | Nursing home |
| Three Rivers Healthcare And Rehabilitation | Marked tree, AR | Nursing home |
| St Elizabeth's Place | Jonesboro, AR | Nursing home |
| Gosnell Health And Rehab | Gosnell, AR | Nursing home |
| Heritage Square Healthcare Center | Blytheville, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Access Medical Clinic Arkansas Llc | 5890077093 | 122 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Access Medical Clinic Llc | 1951721802 | 20 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Entity Name | Bradley Bibb Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488 |
| Entity Name | Access Medical Clinic Arkansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
| Entity Name | Amc Fqhc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720733124 PECOS PAC ID: 5496142978 Enrollment ID: O20220502001586 |
| Entity Name | Access Medical Clinic Arkansas Ltc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114578929 PECOS PAC ID: 0547618175 Enrollment ID: O20231208000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark S Hahn, DO 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Dr Mark S Hahn, DO 104 West State St, Caraway, AR 72419 Ph: (870) 956-0200 |