| 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 | 6 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 |
|---|---|---|
| Adventist Health Tehachapi Valley | Tehachapi, CA | Hospital |
| Adventist Health Bakersfield | Bakersfield, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1278 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
| 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 |
Ahmed Yahya Amin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603 Phone: 870-541-6010 Fax: 870-541-6009 |
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 |
Dr. Terry Liefde, 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 |
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 |