| Leisa Renee Spence, MD | |
|
1309 W Main St, Walnut Ridge, AR 72476-1430 | |
| (870) 886-3211 | |
| (870) 886-3616 |
| Full Name | Leisa Renee Spence |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 1309 W Main St, Walnut Ridge, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932561636 | NPI | - | NPPES |
| 214001795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-14167 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bradley County Medical Center | Warren, AR | Hospital |
| Forrest City Medical Center | Forrest city, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bradley County Medical Center | 2961316112 | 10 |
| Wh Services Arkansas, Llc | 3072045897 | 21 |
| Entity Name | Bradley County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972620649 PECOS PAC ID: 2961316112 Enrollment ID: O20040105000148 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Emergency Staffing Solutions Region Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689967895 PECOS PAC ID: 3375721707 Enrollment ID: O20110706000473 |
| Entity Name | Hcc Of Warren Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952904237 PECOS PAC ID: 6406260371 Enrollment ID: O20210204001426 |
| Entity Name | Hcc Of Magnolia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831865872 PECOS PAC ID: 3779980750 Enrollment ID: O20210917000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Leisa Renee Spence, MD Po Box 839, Walnut Ridge, AR 72476-0839 Ph: (870) 886-3211 | Leisa Renee Spence, MD 1309 W Main St, Walnut Ridge, AR 72476-1430 Ph: (870) 886-3211 |
Cassandra Lou Hunter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-972-0063 Fax: 870-886-3252 | |
Kevin M Diamond, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 | |
Vickey Lynne Snow, APRN Family Medicine Medicare: Medicare Enrolled Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3211 Fax: 870-886-9027 | |
Shawn C Peyton, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 | |
Elizabeth Fike, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1309 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-1200 Fax: 870-886-5340 | |
Clay R Spencer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 | |
Teddy S Lancaster, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1210 W Main St, Walnut Ridge, AR 72476 Phone: 870-886-3543 Fax: 870-886-3252 |