| Omar Alazzawi, MD | |
|
1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 | |
| (870) 541-6010 | |
| Not Available |
| Full Name | Omar Alazzawi |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 5 Years |
| Location | 1601 W 40th Ave Ste 100, Pine Bluff, 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 |
|---|---|---|---|
| 1346816444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A202193 (California) | Secondary |
| 207Q00000X | Family Medicine | E-17156 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ashley County Medical Center | Crossett, AR | Hospital |
| Dallas County Medical Center | Fordyce, AR | Hospital |
| Adventist Health Tehachapi Valley | Tehachapi, CA | Hospital |
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ess Of Fordyce Llc | 1254611601 | 7 |
| Arkansas Emergency Staffing Solutions Inc | 3274681341 | 17 |
| Hospital Care Consultants Of Fordyce Llc | 5395024475 | 9 |
| Southeast Arkansas Emergency Physicians Llp | 6204146319 | 17 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Southeast Arkansas Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647 |
| Entity Name | Hospital Care Consultants Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
| Entity Name | Ess Of Fordyce Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
| Entity Name | Hcc Of Warren Hospitalist, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326641606 PECOS PAC ID: 5698189280 Enrollment ID: O20210121002187 |
| Entity Name | Hcc Of Warren Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952904237 PECOS PAC ID: 6406260371 Enrollment ID: O20210204001426 |
| Entity Name | Ess Of Mcgehee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639822653 PECOS PAC ID: 0749677516 Enrollment ID: O20220426000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Alazzawi, MD 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 Ph: (870) 541-6010 | Omar Alazzawi, MD 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603-6069 Ph: (870) 541-6010 |
Mrs. Larisa Kachowski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 W42d Ave, Pine Bluff, AR 71603 Phone: 870-619-4516 | |
Simmie Armstrong Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 W 43rd Ave, Pine Bluff, AR 71603 Phone: 870-535-6461 Fax: 870-535-0594 | |
Dr. Sree Chellappan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6010 | |
Manuel R Kelley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 | |
Pavana Naga Gopi Krishna Tirumanisetti, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-6009 | |
Dr. Toni L Middleton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-541-6000 Fax: 870-541-7622 | |
Margaret Ann Washington, A.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Tennessee St, Pine Bluff, AR 71601 Phone: 870-543-2380 Fax: 870-535-4716 |