| Dr Nancy L Jones, MD | |
|
1101 Jackson St Sw, Gravette, AR 72736-9121 | |
| (479) 787-5221 | |
| (479) 787-5613 |
| Full Name | Dr Nancy L Jones |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 1101 Jackson St Sw, Gravette, 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 |
|---|---|---|---|
| 1346208527 | NPI | - | NPPES |
| 100726240D | Other | OK | OK GROUP MEDICAID NUMBER |
| 121595001 | Medicaid | AR | |
| 100072480A | Medicaid | OK | |
| P00199474 | Other | AR | RAILROAD MEDICARE NUMBER |
| 206678013 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2014012157 (Missouri) | Secondary |
| 207Q00000X | Family Medicine | C7928 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ozarks Community Hospital Of Gravette | Gravette, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sgoh Acquisition Inc | 5092616276 | 74 |
| Entity Name | Sgoh Acquisition Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nancy L Jones, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 | Dr Nancy L Jones, MD 1101 Jackson St Sw, Gravette, AR 72736-9121 Ph: (479) 787-5221 |
Dr. David John Tucker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Rayetta Eaton, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5291 Fax: 479-344-6404 | |
Dr. Vijay Kumar Kannam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. William Frank Webb, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 | |
Dr. Kenneth Marcus Poemoceah, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Jackson St Sw, Gravette, AR 72736 Phone: 479-787-5221 Fax: 479-787-5613 |