| Mr John Melvin Allen, MD | |
|
4802e Johnson Ave, Jonesboro, AR 72401-8413 | |
| (870) 936-8000 | |
| (870) 934-3665 |
| Full Name | Mr John Melvin Allen |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 4802e Johnson Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568505543 | NPI | - | NPPES |
| 5J754C080 | Other | AR | MEDICARE ID-TYPE UNSPECIFIED |
| 127591001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | E0514 (Arkansas) | Secondary |
| 208800000X | Urology | E-0514 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White County Medical Center | Searcy, AR | Hospital |
| Baptist Health Medical Center North Little Rock | North little rock, AR | Hospital |
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 272 |
| Arkansas Urology, P.a. | 4082502547 | 32 |
| White County Medical Center | 4880688654 | 161 |
| Entity Name | Arkansas Urology, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093720443 PECOS PAC ID: 4082502547 Enrollment ID: O20040306000102 |
| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
| Entity Name | White County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962784835 PECOS PAC ID: 4880688654 Enrollment ID: O20111214000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Melvin Allen, MD 4200 Stockton Dr, North Little Rock, AR 72117-2915 Ph: (501) 219-8900 | Mr John Melvin Allen, MD 4802e Johnson Ave, Jonesboro, AR 72401-8413 Ph: (870) 936-8000 |
Joseph C Kueter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 303 E Matthews Ave, Suite 200, Jonesboro, AR 72401 Phone: 870-932-2926 Fax: 870-932-1560 | |
Dr. Enoch Walden Williams, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 3817 S Culberhouse Rd, Jonesboro, AR 72404 Phone: 870-935-4886 Fax: 870-933-6334 | |
Ladd J Scriber, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 303 E Matthews Ave, Suite 200, Jonesboro, AR 72401 Phone: 870-932-2926 Fax: 870-932-1560 | |
Dr. Rudolph Noah Bowens Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 303 E Matthews Ave Ste 100, Jonesboro, AR 72401 Phone: 870-207-2926 | |
Dr. Emily Jacobs, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 303 E Matthews Ave, Suite 100, Jonesboro, AR 72401 Phone: 870-207-2926 Fax: 870-207-6309 | |
Mr. Michael Laurence Suminski, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4802e Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3665 |