| Access Family Medicine, Inc. | |
|
1505 Winterbrook Dr Conway AR 72034-3564 | |
| (479) 968-7930 | |
| Not Available |
| Full Name | Access Family Medicine, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1505 Winterbrook Dr, Conway, Arkansas |
| Authorized Official Name and Position | Kristi Short (CREDENTIALING OFFICER) |
| Authorized Official Contact | 4794986700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Family Medicine, Inc. Po Box 9178 Russellville AR 72811-9178 Ph: (479) 498-6700 | Access Family Medicine, Inc. 1505 Winterbrook Dr Conway AR 72034-3564 Ph: (479) 968-7930 |
| NPI Number | 1013255777 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 03/12/2021 |
| Medicare PECOS PAC ID | 8820237241 |
|---|---|
| Medicare Enrollment ID | O20130615000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013255777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Darren S Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740442284 PECOS PAC ID: 6305021130 Enrollment ID: I20110421000089 |
| Provider Name | Jessaca Marie Hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790317220 PECOS PAC ID: 7517395395 Enrollment ID: I20200309001801 |
| Provider Name | Shannon Busby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316566607 PECOS PAC ID: 1153751854 Enrollment ID: I20200421001188 |
| Provider Name | Savannah Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972119295 PECOS PAC ID: 8224457189 Enrollment ID: I20200928001180 |
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