| Edward Larry Gills, MD | |
|
880 W Main St, Booneville, AR 72927-3443 | |
| (479) 675-2800 | |
| (479) 452-0275 |
| Full Name | Edward Larry Gills |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 880 W Main St, Booneville, 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 |
|---|---|---|---|
| 1952316366 | NPI | - | NPPES |
| 100166610C | Medicaid | OK | |
| 135306001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1830 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Uams Medical Center | Little rock, AR | Hospital |
| Sequoyah County-city Of Sallisaw Hospital Authorit | Sallisaw, OK | Hospital |
| Mercy Hospital Booneville | Booneville, AR | Hospital |
| Mercy Hospital Waldron | Waldron, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Care Consultants Inc | 9032131735 | 22 |
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| University Of Arkansas For Medical Sciences | 4082528955 | 1146 |
| Sebastian Physician Services, Pllc | 5294178448 | 46 |
| Entity Name | Hospital Care Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912945635 PECOS PAC ID: 9032131735 Enrollment ID: O20051222000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Larry Gills, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (479) 675-2800 | Edward Larry Gills, MD 880 W Main St, Booneville, AR 72927-3443 Ph: (479) 675-2800 |
Dr. Syed Imran Hamid, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 880 W Main St, Booneville, AR 72927 Phone: 479-675-2800 Fax: 479-675-4842 | |
Rachel Beth Sing, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Dr. Lisa Michelle Hendrix, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 880 W Main St, Booneville, AR 72927 Phone: 479-675-2800 | |
Dr. William Andrew Stevenson Iv, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Dr. Michael S Miranda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Ave, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Dennis Jared Berry, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 880 W Main St, Booneville, AR 72927 Phone: 479-675-2800 |