| Jemeca Denise Edwards, MD | |
|
1600 W 40th Ave, Pine Bluff, AR 71603-6301 | |
| (870) 541-8767 | |
| (870) 541-8761 |
| Full Name | Jemeca Denise Edwards |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 1600 W 40th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306059753 | NPI | - | NPPES |
| 1844230001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E-6587 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | E-6587 (Arkansas) | Primary |
| Entity Name | Jefferson Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512 |
| Entity Name | Southeast Arkansas Behavioral Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457398547 PECOS PAC ID: 0042292674 Enrollment ID: O20040607000289 |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932118890 PECOS PAC ID: 7911802079 Enrollment ID: O20040726000650 |
| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
| Entity Name | General Emergency Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386954873 PECOS PAC ID: 7618148800 Enrollment ID: O20110920000309 |
| Entity Name | Southeast Arkansas Hospitalists Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912374018 PECOS PAC ID: 9537479605 Enrollment ID: O20151103000750 |
| Entity Name | Forrest City Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154815181 PECOS PAC ID: 2365794302 Enrollment ID: O20181002003721 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417439944 PECOS PAC ID: 5496793390 Enrollment ID: O20181017000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Jemeca Denise Edwards, MD Po Box 21850, Hot Springs, AR 71903-1850 Ph: (501) 609-2222 | Jemeca Denise Edwards, MD 1600 W 40th Ave, Pine Bluff, AR 71603-6301 Ph: (870) 541-8767 |
Carla Yvonne Pumphrey, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 |