| Dr Mansoor Alam, MD | |
|
609 Sw 8th St Ste 640, Bentonville, AR 72712-7886 | |
| (412) 512-1193 | |
| (479) 250-1392 |
| Full Name | Dr Mansoor Alam |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 609 Sw 8th St Ste 640, Bentonville, 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 |
|---|---|---|---|
| 1174750962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | E7076 (Arkansas) | Secondary |
| 207R00000X | Internal Medicine | E-7076 (Arkansas) | Primary |
| 207R00000X | Internal Medicine | MD2009-0084 (New Mexico) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| Baptist Health - Fort Smith | Fort smith, AR | Hospital |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Mercy Hospital Ozark | Ozark, AR | Hospital |
| Mercy Hospital Booneville | Booneville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Fort Smith Communities | 3870668510 | 305 |
| Sebastian Physician Services, Pllc | 5294178448 | 46 |
| Ies Hsp Oklahoma Llc | 2163863341 | 16 |
| Entity Name | Northwest Benton County Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505 |
| 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 Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699070649 PECOS PAC ID: 3870668510 Enrollment ID: O20110303000543 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454 |
| Entity Name | Ies Hsp Arkansas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205559705 PECOS PAC ID: 7416327523 Enrollment ID: O20230106000943 |
| 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 |
|---|---|
| Dr Mansoor Alam, MD 609 Sw 8th St Ste 640, Bentonville, AR 72712-7886 Ph: (412) 512-1193 | Dr Mansoor Alam, MD 609 Sw 8th St Ste 640, Bentonville, AR 72712-7886 Ph: (412) 512-1193 |
Mr. Lance Lee Hamilton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2618 Se J St, Ste 12, Bentonville, AR 72712 Phone: 479-715-6505 Fax: 479-340-0015 | |
Dr. Najindra Maharjan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 811 Se 28th St, Suite 7, Bentonville, AR 72712 Phone: 479-271-9393 Fax: 479-271-0141 | |
Dr. Jamon R Pruitt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy, Suite 240b, Bentonville, AR 72712 Phone: 479-553-2200 Fax: 479-553-2909 | |
Rupali Abhijit Paradkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Se 13th Ct, Bentonville, AR 72712 Phone: 479-273-9056 Fax: 479-273-6937 | |
Daniel Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy Ste 240b, Bentonville, AR 72712 Phone: 479-273-9173 | |
Dr. Loyd E Nugent, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 Se J St, Bentonville, AR 72712 Phone: 479-531-4444 | |
Ms. Brenda Louise Rude, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Se 13th Ct, Bentonville, AR 72712 Phone: 479-273-9056 Fax: 479-273-6937 |