<unavail> in Fort Smith, AR - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Fort Smith, Arkansas. The current practice location for is 2208 Queensbury Way, Fort Smith, Arkansas. For appointments, you can reach them via phone at (973) 342-4806. The mailing address for is 2208 Queensbury Way, Fort Smith, Arkansas and phone number is (973) 342-4806.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1992557839. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (973) 342-4806.

Contact Information


	2208 Queensbury Way Fort Smith AR 72908-9130
	(973) 342-4806
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	2208 Queensbury Way, Fort Smith, Arkansas
Authorized Official Name and Position	Jouma Jalou (OWNER)
Authorized Official Contact	9733424806
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
2208 Queensbury Way Fort Smith AR 72908-9130 Ph: (973) 342-4806	2208 Queensbury Way Fort Smith AR 72908-9130 Ph: (973) 342-4806

NPI Details:

NPI Number	1992557839
Provider Enumeration Date	04/03/2024
Last Update Date	06/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4183066798
Medicare Enrollment ID	O20240621002289

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992557839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Jouma Jalou
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1720571102 PECOS PAC ID: 5193127140 Enrollment ID: I20230508001588

Reviews and Comments

Family Medicine in Fort Smith, AR

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- Medicare Primary Care in Fort Smith, AR