| De Queen Pediatrics Inc | |
|
1357 W Collin Raye Dr De Queen AR 71832-2946 | |
| (870) 642-4364 | |
| Not Available |
| Full Name | De Queen Pediatrics Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 1357 W Collin Raye Dr, De Queen, Arkansas |
| Authorized Official Name and Position | Terri A Devlin (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8706424364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| De Queen Pediatrics Inc 1357 W Collin Raye Dr De Queen AR 71832-2946 Ph: (870) 642-4364 | De Queen Pediatrics Inc 1357 W Collin Raye Dr De Queen AR 71832-2946 Ph: (870) 642-4364 |
| NPI Number | 1295983237 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 9638398019 |
|---|---|
| Medicare Enrollment ID | O20140917000954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295983237 | NPI | - | NPPES |
| 170952002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E-2169 (Arkansas) | Secondary |
| 208000000X | Pediatrics | E-2169 (Arkansas) | Primary |
| Provider Name | Terri A. Devlin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710982285 PECOS PAC ID: 5698782787 Enrollment ID: I20060315000111 |
| Provider Name | Sharonda R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629532122 PECOS PAC ID: 0143553198 Enrollment ID: I20190606002654 |
| Provider Name | Shelly R Eastridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790344166 PECOS PAC ID: 0244568053 Enrollment ID: I20190817000054 |
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 | |
De Queen Family Medical Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3627 | |
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 |