| John Allen Cockerell, MD | |
|
4020 Richards Rd Ste I, North Little Rock, AR 72117-2744 | |
| (501) 916-9693 | |
| (501) 916-9804 |
| Full Name | John Allen Cockerell |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 4020 Richards Rd Ste I, North 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 |
|---|---|---|---|
| 1669867099 | NPI | - | NPPES |
| T1AR5058 | Medicaid | AR | |
| 22848801 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-11342 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Autumn Road Family Practice, P.a, | 1153458625 | 9 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649219577 PECOS PAC ID: 7911802079 Enrollment ID: O20040702000480 |
| Entity Name | Autumn Road Family Practice, P.a, |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629027818 PECOS PAC ID: 1153458625 Enrollment ID: O20100415000328 |
| Mailing Address | Practice Location Address |
|---|---|
| John Allen Cockerell, MD 4020 Richards Rd Ste I, North Little Rock, AR 72117-2744 Ph: (501) 917-9693 | John Allen Cockerell, MD 4020 Richards Rd Ste I, North Little Rock, AR 72117-2744 Ph: (501) 916-9693 |
Dr. Richard Erin Mckelvey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2200 Fort Roots Dr, North Little Rock, AR 72114 Phone: 510-257-3984 | |
Kari Kajitani, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3343 Springhill Dr, Suite 2045, North Little Rock, AR 72117 Phone: 501-955-2680 | |
Mrs. Sarah Beth Holcomb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4625 John F Kennedy Blvd, North Little Rock, AR 72116 Phone: 501-435-3455 Fax: 501-483-3630 | |
Dillon Wester, Family Medicine Medicare: Medicare Enrolled Practice Location: 3201 Springhill Dr Ste 300, North Little Rock, AR 72117 Phone: 972-762-6303 | |
Stanley C Burns, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4509 E Mccain Blvd, North Little Rock, AR 72117 Phone: 501-945-4200 Fax: 501-945-0906 | |
Dr. Jasmine Amena Prime, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3500 Springhill Dr, North Little Rock, AR 72117 Phone: 501-441-8000 Fax: 501-441-8050 | |
Dr. Michael P Berry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2508 Crestwood Rd, North Little Rock, AR 72116 Phone: 501-758-2294 Fax: 501-758-7877 |