| Arkansas Health Group | |
|
4411 Highway 5 N Bryant AR 72022-7005 | |
| (501) 847-0289 | |
| Not Available |
| Full Name | Arkansas Health Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4411 Highway 5 N, Bryant, Arkansas |
| Authorized Official Name and Position | Will L Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Health Group 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7800 | Arkansas Health Group 4411 Highway 5 N Bryant AR 72022-7005 Ph: (501) 847-0289 |
| NPI Number | 1609849710 |
|---|---|
| Provider Enumeration Date | 02/09/2006 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20050323000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609849710 | NPI | - | NPPES |
| 71067816050 | Other | QUALCHOICE | |
| 128284002 | Medicaid | AR | |
| 5B520 | Other | AR | BCBS |
| 5738040 | Other | AR | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph P Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538132279 PECOS PAC ID: 5799671640 Enrollment ID: I20040226000465 |
| Provider Name | Jerry N Cavaneau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639142284 PECOS PAC ID: 4688629660 Enrollment ID: I20050323001407 |
| Provider Name | Shelley D Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306830468 PECOS PAC ID: 1254368657 Enrollment ID: I20050718000531 |
| Provider Name | Jarrett B Lea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467436725 PECOS PAC ID: 7810900685 Enrollment ID: I20060720000283 |
| Provider Name | William M Peckat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609304526 PECOS PAC ID: 7911272760 Enrollment ID: I20200625000759 |
| Provider Name | Anna M Chapdelaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982398186 PECOS PAC ID: 0547629982 Enrollment ID: I20230704000031 |
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