| Mark A Peterson, MD | |
|
1300 Braden St, Jacksonville, AR 72076-3719 | |
| (501) 985-5900 | |
| (501) 985-6016 |
| Full Name | Mark A Peterson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 1300 Braden St, Jacksonville, 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 |
|---|---|---|---|
| 1407810898 | NPI | - | NPPES |
| 113403001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C6651 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Central Primary Care Pllc | 8729142682 | 19 |
| Entity Name | Arkansas Central Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396996740 PECOS PAC ID: 8729142682 Enrollment ID: O20090127000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Peterson, MD Po Box 309, 1300 Braden St, Jacksonville, AR 72076 Ph: (501) 985-5900 | Mark A Peterson, MD 1300 Braden St, Jacksonville, AR 72076-3719 Ph: (501) 985-5900 |
Dr. George Thompson Gray Iii, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Braden St, Emergency Dept, Jacksonville, AR 72076 Phone: 501-985-7000 | |
Miriam Gwenyth Morse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 | |
Cameron Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6022 | |
Sridhar Reddy Madgula, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Main St, Jacksonville, AR 72076 Phone: 501-982-2108 Fax: 501-982-4951 | |
Dr. John Daugherty, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1409 Braden St, Jacksonville, AR 72076 Phone: 501-982-0576 Fax: 501-982-0041 | |
Robert Ross Ritchie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 | |
Richard Lee Hayes, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 Braden St, Jacksonville, AR 72076 Phone: 501-985-5900 Fax: 501-985-6016 |