| Ross Lenzen, | |
|
108 Skyline Dr, Russellville, AR 72801-3362 | |
| (479) 968-7170 | |
| (479) 968-7607 |
| Full Name | Ross Lenzen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 108 Skyline Dr, Russellville, 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 |
|---|---|---|---|
| 1497376453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E15200 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Regional Health System | Conway, AR | Hospital |
| St Marys Regional Medical Center | Russellville, AR | Hospital |
| Dardanelle Hospital | Dardanelle, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conway Regional Medical Center Inc | 3173428414 | 133 |
| Entity Name | Conway Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841200417 PECOS PAC ID: 3173428414 Enrollment ID: O20040605000199 |
| Entity Name | Conway Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396913976 PECOS PAC ID: 3173428414 Enrollment ID: O20080404000463 |
| 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 | 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 | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730737131 PECOS PAC ID: 0345576500 Enrollment ID: O20230711000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Lenzen, Po Box 9662, Conway, AR 72033-9662 Ph: (501) 852-1363 | Ross Lenzen, 108 Skyline Dr, Russellville, AR 72801-3362 Ph: (479) 968-7170 |
Kenneth B Turner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-968-7607 | |
Mrs. Allison Hope Melton, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 W Main St, Russellville, AR 72801 Phone: 479-219-9913 | |
Lavon Jeneen Wood, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Skyline Dr, Russellville, AR 72801 Phone: 479-968-7170 Fax: 479-890-2467 | |
Dr. Douglas H Lowrey, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 S Utah Ave, Russellville, AR 72801 Phone: 479-968-2727 | |
Dr. Andrew Mason Monfee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3812 W Main St, Russellville, AR 72801 Phone: 479-968-1245 Fax: 479-968-4137 | |
James Mark Carter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W C Pl, Russellville, AR 72801 Phone: 479-967-7717 Fax: 866-280-8464 |