| Mark Alan Smith, MD | |
|
100 Shadow Oaks Dr, Sherwood, AR 72120-6046 | |
| (501) 681-6181 | |
| (501) 983-4376 |
| Full Name | Mark Alan Smith |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 41 Years |
| Location | 100 Shadow Oaks Dr, Sherwood, 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 |
|---|---|---|---|
| 1174529887 | NPI | - | NPPES |
| 155886001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E4293 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gentiva Hospice | Little rock, AR | Hospice |
| Kindred Hospice I | Batesville, AR | Hospice |
| Conway Regional Health System | Conway, AR | Hospital |
| Woodland Hills Healthcare And Rehabilitation | Jacksonville, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care 360 | 4183050842 | 2 |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Primary Care 360 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124678586 PECOS PAC ID: 4183050842 Enrollment ID: O20200129001002 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Alan Smith, MD 5308 Ridge Rd, Jacksonville, AR 72076-8907 Ph: (501) 681-6181 | Mark Alan Smith, MD 100 Shadow Oaks Dr, Sherwood, AR 72120-6046 Ph: (501) 681-6181 |
Dr. Gregory M Zawada, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2215 Wildwood Ave, Suite 204, Sherwood, AR 72120 Phone: 501-753-2424 Fax: 501-753-2733 |