Tracy Thomas Phillips, DO | |
2001 Club Manor Dr Ste S, Maumelle, AR 72113-7417 | |
(501) 734-8085 | |
(501) 734-8088 |
Full Name | Tracy Thomas Phillips |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2001 Club Manor Dr Ste S, Maumelle, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679571863 | NPI | - | NPPES |
129995003 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | E-1018 (Arkansas) | Secondary |
207Q00000X | Family Medicine | E1018 (Arkansas) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Tracy Thomas Phillips, DO 2001 Club Manor Dr Ste S, Maumelle, AR 72113-7417 Ph: (501) 734-8085 | Tracy Thomas Phillips, DO 2001 Club Manor Dr Ste S, Maumelle, AR 72113-7417 Ph: (501) 734-8085 |
Jeffrey John Carfagno, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Club Manor Dr Ste 105, Maumelle, AR 72113 Phone: 501-851-8100 Fax: 501-851-4712 | |
Salman F Hashmi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Millwood Cir, Suite E, Maumelle, AR 72113 Phone: 501-803-9990 Fax: 501-803-9991 | |
Dr. Amy Lynn Beard, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2001 Club Manor Dr, Suite J2, Maumelle, AR 72113 Phone: 501-581-1212 | |
Abeer Salman Hashmi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Millwood Cir, Suite E, Maumelle, AR 72113 Phone: 501-803-9990 | |
Dr. Billy Reid Mcbay, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 Millwood Cir, Suite E, Maumelle, AR 72113 Phone: 501-803-9990 Fax: 501-803-9991 | |
Matthew Wagner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Club Manor Dr Ste 2b, Maumelle, AR 72113 Phone: 501-812-7216 | |
Marjorie Gayle Hays, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 32 Spring Dr, Maumelle, AR 72113 Phone: 501-908-3098 |