| Jon R Connelley, MD | |
|
624 Hospital Drive, Suite 503, Mountain Home, AR 72653-2955 | |
| (870) 508-1000 | |
| Not Available |
| Full Name | Jon R Connelley |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 624 Hospital Drive, Mountain Home, 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 |
|---|---|---|---|
| 1538246202 | NPI | - | NPPES |
| 100081120B | Medicaid | OK | |
| 130416001 | Medicaid | AR | |
| 126543001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | C-8366 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baxter Regional Medical Center | Mountain home, AR | Hospital |
| Washington Regional Medical Center | Fayetteville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baxter County Regional Hospital Inc | 0042389264 | 90 |
| Ans Services Of Arkansas Pa | 4486002599 | 55 |
| Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 61 |
| Entity Name | Baxter County Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114178753 PECOS PAC ID: 0042389264 Enrollment ID: O20081212000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon R Connelley, MD Po Box 2336, Mountain Home, AR 72654-2336 Ph: (870) 424-7070 | Jon R Connelley, MD 624 Hospital Drive, Suite 503, Mountain Home, AR 72653-2955 Ph: (870) 508-1000 |
James S Clarke, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-1000 | |
Bryan Bradbury Slepicka, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17 Medical Plz, Mountain Home, AR 72653 Phone: 870-508-5900 | |
Dr. Matthew James Mcnelley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17 Medical Plz, Mountain Home, AR 72653 Phone: 870-508-5900 | |
Dr. William R King, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-1000 Fax: 870-424-6616 | |
Dr. Ira D Chatman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 17 Medical Plz, Mountain Home, AR 72653 Phone: 870-425-6212 Fax: 870-508-6896 |