| Matthew Christopher Pertzborn, MD | |
|
1 Childrens Way # 512-17, Little Rock, AR 72202-3591 | |
| (501) 364-1006 | |
| (501) 364-3930 |
| Full Name | Matthew Christopher Pertzborn |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 13 Years |
| Location | 1 Childrens Way # 512-17, Little Rock, 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 |
|---|---|---|---|
| 1194161869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0214X | Pediatrics - Pediatric Pulmonology | ME127219 (Florida) | Secondary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | E-11842 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arkansas Childrens Professional Services Organization Llc | 4688183148 | 180 |
| Entity Name | University of Arkansas for Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Arkansas Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
| Entity Name | Arkansas Childrens Professional Services Organization LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629889464 PECOS PAC ID: 4688183148 Enrollment ID: O20250604004418 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Christopher Pertzborn, MD 1 Childrens Way # 512-17, Little Rock, AR 72202-3591 Ph: (501) 364-1006 | Matthew Christopher Pertzborn, MD 1 Childrens Way # 512-17, Little Rock, AR 72202-3591 Ph: (501) 364-1006 |
Dr. Michael William Bishop, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way Fl Wing1, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 |
Dustin Edward Williford, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-8, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-2963 |
Kristyn N Jeffries, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 |
Thanh Thanh Dai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-24a, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 |
Indirapriya Darshini Avulakunta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 512-1, Little Rock, AR 72202 Phone: 501-364-5262 Fax: 501-364-3418 |
Mohy Morris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Way # 512-17, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-3930 |
Ashley Wilcox Halpain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 904 Autumn Rd Ste 100, Little Rock, AR 72211 Phone: 501-224-5437 |