| First Care Family Medicine-mena Pllc | |
|
1706 Highway 71 N Mena AR 71953-8917 | |
| (501) 625-7500 | |
| (501) 625-7777 |
| Full Name | First Care Family Medicine-mena Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1706 Highway 71 N, Mena, Arkansas |
| Authorized Official Name and Position | Brenda Larie Southerland (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 5016257500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| First Care Family Medicine-mena Pllc 1661 Airport Rd Suite D Hot Springs AR 71913-7951 Ph: (501) 625-7500 | First Care Family Medicine-mena Pllc 1706 Highway 71 N Mena AR 71953-8917 Ph: (501) 625-7500 |
| NPI Number | 1619410040 |
|---|---|
| Provider Enumeration Date | 12/03/2016 |
| Last Update Date | 02/05/2020 |
| Medicare PECOS PAC ID | 3375804784 |
|---|---|
| Medicare Enrollment ID | O20180228000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619410040 | NPI | - | NPPES |
| 225469002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen Sue Hanig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659351864 PECOS PAC ID: 7911998810 Enrollment ID: I20040519001654 |
| Provider Name | Fred L Lyles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609826486 PECOS PAC ID: 3072595941 Enrollment ID: I20040603001182 |
| Provider Name | Anna Parchman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578565321 PECOS PAC ID: 7911981899 Enrollment ID: I20040617000358 |
| Provider Name | Jodi Lynette Sanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770538308 PECOS PAC ID: 9032179981 Enrollment ID: I20041014000712 |
| Provider Name | John Scott Erwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518906858 PECOS PAC ID: 4486601143 Enrollment ID: I20050405000495 |
| Provider Name | Michael S Mullins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457390734 PECOS PAC ID: 9032009022 Enrollment ID: I20061012000225 |
| Provider Name | Kimberly D Nance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174685465 PECOS PAC ID: 3173627742 Enrollment ID: I20070409000639 |
| Provider Name | Matthew D Hulsey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275573750 PECOS PAC ID: 2769567122 Enrollment ID: I20080310000185 |
| Provider Name | Billie Pool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740289214 PECOS PAC ID: 7214079821 Enrollment ID: I20100120000493 |
| Provider Name | Kevin D Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922101716 PECOS PAC ID: 0840180832 Enrollment ID: I20110923000310 |
| Provider Name | Hunter K Carrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992016638 PECOS PAC ID: 6305013335 Enrollment ID: I20120116000070 |
| Provider Name | Natalie E Summitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417210543 PECOS PAC ID: 5890943583 Enrollment ID: I20120921000701 |
| Provider Name | Joseph C Fendley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003182387 PECOS PAC ID: 9436388188 Enrollment ID: I20140129001804 |
| Provider Name | Christina Marie Gillenwater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811326861 PECOS PAC ID: 2466672043 Enrollment ID: I20141002000460 |
| Provider Name | Ted M Faro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184621294 PECOS PAC ID: 5294790226 Enrollment ID: I20150112000941 |
| Provider Name | Denise A Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014294 PECOS PAC ID: 9931492550 Enrollment ID: I20160720000209 |
| Provider Name | Matthew Jarett Huskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609385715 PECOS PAC ID: 1658647995 Enrollment ID: I20171101000012 |
| Provider Name | Samantha K Lampi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124537162 PECOS PAC ID: 2860758554 Enrollment ID: I20171114000052 |
| Provider Name | Michelle Auld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336699941 PECOS PAC ID: 0042570558 Enrollment ID: I20180201000626 |
| Provider Name | Jennifer Mace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023535952 PECOS PAC ID: 5890055727 Enrollment ID: I20180214000191 |
| Provider Name | Susan Rachelle Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013489590 PECOS PAC ID: 3577802933 Enrollment ID: I20190228002745 |
| Provider Name | Anna Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689228975 PECOS PAC ID: 0143550525 Enrollment ID: I20190927000917 |
| Provider Name | Brittany Camille Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093335879 PECOS PAC ID: 2264842079 Enrollment ID: I20201106000855 |
| Provider Name | Ashley Michelle Rima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437758026 PECOS PAC ID: 6305257106 Enrollment ID: I20201130002961 |
| Provider Name | Natalie S Manatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851902118 PECOS PAC ID: 6507277233 Enrollment ID: I20201201001270 |
| Provider Name | Laura Odle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013513589 PECOS PAC ID: 3779995956 Enrollment ID: I20201211000896 |
| Provider Name | Kimberly O Laflora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801407440 PECOS PAC ID: 9830507847 Enrollment ID: I20210412001797 |
| Provider Name | Laticia Kay Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871013359 PECOS PAC ID: 3577833458 Enrollment ID: I20210528000111 |
| Provider Name | Sandy Jeanette Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205406709 PECOS PAC ID: 6002218658 Enrollment ID: I20210706001801 |
| Provider Name | Swapna Manyam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500406 PECOS PAC ID: 6103151634 Enrollment ID: I20220131000319 |
| Provider Name | Elvira Monica Liga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477207678 PECOS PAC ID: 7618360611 Enrollment ID: I20220216000845 |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 College Dr, Mena, AR 71953 Phone: 479-394-1414 Fax: 877-775-6761 | |
Jmac Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste F, Mena, AR 71953 Phone: 479-437-6080 | |
Grannis Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Morrow St N, Mena, AR 71953 Phone: 870-385-2513 | |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Crestwood Cir, Mena, AR 71953 Phone: 479-394-7301 Fax: 479-394-7160 | |
Goodnight Family Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste D, Mena, AR 71953 Phone: 479-437-6080 Fax: 479-437-6079 | |
David P. Brown, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Highway 71 N, Mena, AR 71953 Phone: 479-394-3718 Fax: 479-394-7571 | |
Ouachita Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Dequeen St, Mena, AR 71953 Phone: 479-394-5068 Fax: 479-394-5626 |