| Casey Richard Jenkins, PA-C | |
|
303 Professional Park Dr, Arkadelphia, AR 71923-5317 | |
| (870) 464-1515 | |
| (870) 464-1514 |
| Full Name | Casey Richard Jenkins |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 303 Professional Park Dr, Arkadelphia, 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 |
|---|---|---|---|
| 1326687203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA867 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Arkansas For Medical Sciences | 4082528955 | 1159 |
| Entity Name | University of Arkansas for Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706 |
| Entity Name | University of Arkansas for Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871091355 PECOS PAC ID: 4082528955 Enrollment ID: O20181015002214 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey Richard Jenkins, PA-C Po Box 251420, Little Rock, AR 72225-1420 Ph: (501) 686-8000 | Casey Richard Jenkins, PA-C 303 Professional Park Dr, Arkadelphia, AR 71923-5317 Ph: (870) 464-1515 |
Jesse Kay Clark, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3050 Twin Rivers Dr, Arkadelphia, AR 71923 Phone: 501-851-7402 Fax: 501-851-4753 |
Ms. Mary Abbygail Burnham, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2850 Twin Rivers Dr Ste 102, Arkadelphia, AR 71923 Phone: 870-246-8036 Fax: 870-246-7164 |