| Kirk Porter, PA-C | |
|
1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 | |
| (870) 931-4442 | |
| (870) 802-0205 |
| Full Name | Kirk Porter |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1107 E Matthews Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366801870 | NPI | - | NPPES |
| 212903795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PT2016-011 (Arkansas) | Primary |
| Entity Name | St Bernards Hospital Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396053096 PECOS PAC ID: 0941105480 Enrollment ID: O20101123000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Porter, PA-C 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 Ph: (870) 931-4442 | Kirk Porter, PA-C 1107 E Matthews Ave, Suite 200, Jonesboro, AR 72401-4315 Ph: (870) 931-4442 |
Mrs. Meredith Harrison Brewer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 S Church St Ste 203, Jonesboro, AR 72401 Phone: 870-336-0277 Fax: 870-932-5699 |
Mary R Hobbs, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1416 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-932-1920 |
Garrison Chase Dowell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1010 S Main St, Jonesboro, AR 72401 Phone: 501-831-7675 |
Samantha Duvall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1010 S Main St, Jonesboro, AR 72401 Phone: 870-932-1820 |
Faith Kimberlin Smith Bevill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 |
Lidwina Wangsadipura Powers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5510 Southwest Dr Ste 11-12, Jonesboro, AR 72404 Phone: 870-641-4471 Fax: 870-206-7068 |
Casey Green, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1010 S Main St, Jonesboro, AR 72401 Phone: 870-932-1820 Fax: 870-972-6712 |