| Mark Anthony Vice, MD | |
|
819 W Carpenter St, Benton, AR 72015-3349 | |
| (501) 778-8264 | |
| (501) 778-7360 |
| Full Name | Mark Anthony Vice |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 819 W Carpenter St, Benton, 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 |
|---|---|---|---|
| 1134188063 | NPI | - | NPPES |
| 111450000 | Other | AR | QUALCHOICE |
| 4280873 | Other | AR | AETNA |
| 116882001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C-7760 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saline Memorial Hospital | Benton, AR | Hospital |
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Health Group | 7911802079 | 579 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558330969 PECOS PAC ID: 7911802079 Enrollment ID: O20031216000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Anthony Vice, MD 819 W Carpenter St, Benton, AR 72015-3349 Ph: (501) 778-8264 | Mark Anthony Vice, MD 819 W Carpenter St, Benton, AR 72015-3349 Ph: (501) 778-8264 |
Dr. Samuel D Taggart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Medical Park Dr, Suite 100, Benton, AR 72015 Phone: 501-778-0934 Fax: 501-778-1013 | |
Stewart Gregory Johnston, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 819 W Carpenter St, Benton, AR 72015 Phone: 501-778-8264 Fax: 501-778-7360 | |
Dr. Mark E Albey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3 Medical Park Dr, Suite 100, Benton, AR 72015 Phone: 501-778-0934 | |
Laura Ashley Hardin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 5 Medical Park Dr Ste 203, Benton, AR 72015 Phone: 501-315-7620 | |
Dr. Kristen N Pollich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 | |
Cynthia Chow, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 |