| Dr Thomas Terryl Jefferson, MD | |
|
1100 N University Ave Ste 200, Little Rock, AR 72207-6360 | |
| (888) 710-8220 | |
| (866) 573-0761 |
| Full Name | Dr Thomas Terryl Jefferson |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 54 Years |
| Location | 1100 N University Ave Ste 200, Little Rock, 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 |
|---|---|---|---|
| 1790891448 | NPI | - | NPPES |
| 104422001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | C4604 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthy Connections Incorporated | 9931018421 | 23 |
| Entity Name | Healthy Connections Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646491 PECOS PAC ID: 9931018421 Enrollment ID: O20040106000555 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Terryl Jefferson, MD Po Box 1848, Mena, AR 71953-1841 Ph: (888) 710-8220 | Dr Thomas Terryl Jefferson, MD 1100 N University Ave Ste 200, Little Rock, AR 72207-6360 Ph: (888) 710-8220 |
Dr. Katherine Marie Hart, MD, PHARMD General Practice Medicare: Not Enrolled in Medicare Practice Location: 806 S Izard St, Little Rock, AR 72201 Phone: 501-474-6796 |
Samea Naz Lone, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-6627 |
Mr. Thomas H Tvedten, M. D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 4 Office Park Dr, Little Rock, AR 72211 Phone: 501-225-3836 Fax: 501-225-8705 |
Dr. Carol Sue Caruthers, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 6924 Geyer Springs Rd, Little Rock, AR 72209 Phone: 501-562-1463 Fax: 501-562-2702 |
Ann Sharon Meador, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1100 N University Ave Ste 200, Little Rock, AR 72207 Phone: 888-710-8220 Fax: 866-573-0761 |
Robert L. Barrow, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 600 Autumn Rd, Little Rock, AR 72211 Phone: 501-221-2900 Fax: 501-221-0615 |
Mr. Reece Lewis Crow, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 34 Windsor Road, Little Rock, AR 72212 Phone: 501-227-6157 |