| 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 | 32 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 |
| North Logan Mercy Hospital | Paris, AR | Hospital |
| Mercy Hospital Ozark | Ozark, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sebastian Physician Services, Pllc | 5294178448 | 49 |
| University Of Arkansas For Medical Sciences | 4082528955 | 1176 |
| Mercy Clinic Fort Smith Communities | 3870668510 | 349 |
| Correct Care, Inc. | 8628980992 | 93 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831193531 PECOS PAC ID: 4082528955 Enrollment ID: O20040124000178 |
| Entity Name | Mercy Hospital Waldron |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730137134 PECOS PAC ID: 5597658005 Enrollment ID: O20040211000825 |
| Entity Name | Mercy Hospital Ozark |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642767 PECOS PAC ID: 3678467412 Enrollment ID: O20040211001144 |
| Entity Name | Correct Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20041207001183 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518915321 PECOS PAC ID: 0244135705 Enrollment ID: O20090402000673 |
| Entity Name | Mercy Hospital Booneville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083004733 PECOS PAC ID: 1951530385 Enrollment ID: O20170203001490 |
| Entity Name | Crawford Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346029204 PECOS PAC ID: 7517310014 Enrollment ID: O20240131004412 |
| Entity Name | Sebastian Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255110110 PECOS PAC ID: 5294178448 Enrollment ID: O20240205003889 |
| Entity Name | Arkansas Post Discharge Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851152029 PECOS PAC ID: 0345686861 Enrollment ID: O20240306004442 |
| 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: Accepting Medicare Assignments Practice Location: 880 W Main St, Booneville, AR 72927 Phone: 479-675-2800 |