| Diffine Family Practice Pllc | |
|
1100 Medical Plaza Drive South Suite C Blytheville AR 72315 | |
| (870) 824-2809 | |
| (870) 762-0731 |
| Full Name | Diffine Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Medical Plaza Drive South, Blytheville, Arkansas |
| Authorized Official Name and Position | David A Diffine (PRESIDENT) |
| Authorized Official Contact | 8708242809 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diffine Family Practice Pllc Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Diffine Family Practice Pllc 1100 Medical Plaza Drive South Suite C Blytheville AR 72315 Ph: (870) 824-2809 |
| NPI Number | 1962707158 |
|---|---|
| Provider Enumeration Date | 01/19/2011 |
| Last Update Date | 02/07/2024 |
| Medicare PECOS PAC ID | 4486836657 |
|---|---|
| Medicare Enrollment ID | O20110309000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962707158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-3767 (Arkansas) | Primary |
| Provider Name | David A Diffine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679576631 PECOS PAC ID: 0244140630 Enrollment ID: I20040407001433 |
| Provider Name | Bethany Allison Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346339066 PECOS PAC ID: 5294757233 Enrollment ID: I20051219000878 |
| Provider Name | Amanda G Smallmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447481072 PECOS PAC ID: 7416002621 Enrollment ID: I20090910000634 |
| Provider Name | Jonathan D White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083703896 PECOS PAC ID: 7315044914 Enrollment ID: I20100713000312 |
| Provider Name | Victoria L Jacoby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124417142 PECOS PAC ID: 5193035236 Enrollment ID: I20151102002436 |
| Provider Name | Rachael Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245870989 PECOS PAC ID: 7214364256 Enrollment ID: I20200303002441 |
Mid-south Health Systems Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 S Lockard St, Blytheville, AR 72315 Phone: 870-763-2139 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1521 N 10th St Ste G, Blytheville, AR 72315 Phone: 870-838-7500 Fax: 870-838-7452 | |
Mississippi County Hospital System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Medical Dr, Blytheville, AR 72315 Phone: 870-838-7277 Fax: 870-776-5380 | |
Access Medical Clinic Arkansas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 E Main St, Blytheville, AR 72315 Phone: 870-409-7060 | |
Board Certified Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 527 North Sixth Street, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 | |
James D.dye,m.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 | |
James David Dye Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 527 N 6th St, Blytheville, AR 72315 Phone: 870-763-4541 Fax: 870-762-2390 |