| Monte Douglas, PA-C | |
|
1400 Braden St, Jacksonville, AR 72076-3721 | |
| (501) 241-1676 | |
| (501) 241-1427 |
| Full Name | Monte Douglas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1400 Braden St, Jacksonville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154736262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-547 (Arkansas) | Primary |
| 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 | White County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962784835 PECOS PAC ID: 4880688654 Enrollment ID: O20111214000175 |
| Entity Name | White County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
| Entity Name | Regional Healthcare Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407587363 PECOS PAC ID: 8224412234 Enrollment ID: O20240807003230 |
| Entity Name | Mobile Wound Care Solutions LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548070014 PECOS PAC ID: 0547783730 Enrollment ID: O20250331000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Monte Douglas, PA-C Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Monte Douglas, PA-C 1400 Braden St, Jacksonville, AR 72076-3721 Ph: (501) 241-1676 |
Aaron M. Woodall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Braden St, Jacksonville, AR 72076 Phone: 501-241-1676 Fax: 501-241-1427 |