| De Queen Family Medical Associates Pllc | |
|
500 E Collin Raye Dr De Queen AR 71832-8048 | |
| (870) 584-3627 | |
| Not Available |
| Full Name | De Queen Family Medical Associates Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 500 E Collin Raye Dr, De Queen, Arkansas |
| Authorized Official Name and Position | William H. Kelley (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8705843627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De Queen Family Medical Associates Pllc 500 E Collin Raye Dr De Queen AR 71832-8048 Ph: () - | De Queen Family Medical Associates Pllc 500 E Collin Raye Dr De Queen AR 71832-8048 Ph: (870) 584-3627 |
| NPI Number | 1104678820 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 05/31/2024 |
| Medicare PECOS PAC ID | 4284075169 |
|---|---|
| Medicare Enrollment ID | O20240509000817 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104678820 | NPI | - | NPPES |
| 319492002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | William H Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376561647 PECOS PAC ID: 3375649841 Enrollment ID: I20121030000448 |
| Provider Name | Shantae Rankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588396857 PECOS PAC ID: 2466828702 Enrollment ID: I20221012000557 |
Jonathan L. Hoyt, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Highway 71 N, De Queen, AR 71832 Phone: 870-642-5600 | |
Randy D. Walker, M.d., P.l.l.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1553 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3000 Fax: 870-584-3003 | |
De Queen Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-642-2273 Fax: 870-642-2162 | |
Mitchell Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Highway 71 N, De Queen, AR 71832 Phone: 870-642-8818 | |
Healthy Connections Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 W Collin Raye Dr, De Queen, AR 71832 Phone: 888-710-8220 | |
De Queen Pediatrics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1357 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-642-4364 |