| Trace Nathaniel Garner, MD | |
|
766 H L Ross Dr, Monticello, AR 71655-5706 | |
| (870) 412-4302 | |
| (870) 412-4178 |
| Full Name | Trace Nathaniel Garner |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 16 Years |
| Location | 766 H L Ross Dr, Monticello, 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 |
|---|---|---|---|
| 1982921391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | E-8037 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center-drew County | Monticello, AR | Hospital |
| Chi St Vincent Infirmary | Little rock, AR | Hospital |
| Bradley County Medical Center | Warren, AR | Hospital |
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Ashley County Medical Center | Crossett, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Vincent Infirmary Medical Center | 5698674166 | 44 |
| Entity Name | St Vincent Infirmary Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316991847 PECOS PAC ID: 5698674166 Enrollment ID: O20040103000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Trace Nathaniel Garner, MD 10100 Kanis Rd, Little Rock, AR 72205-6202 Ph: (501) 255-6000 | Trace Nathaniel Garner, MD 766 H L Ross Dr, Monticello, AR 71655-5706 Ph: (870) 412-4302 |
Dr. Abid Mohiuddin, MD Cardiovascular Disease Medicare: May Accept Medicare Assignments Practice Location: 788 Scogin Drive, Drew Memorial Health System, Monticello, AR 71655 Phone: 870-500-0595 Fax: 870-535-2801 |