| Hendrix Medical Services Pllc | |
|
2709 W Kingshighway Suite 6 Paragould AR 72450-4141 | |
| (870) 236-7272 | |
| (870) 236-7275 |
| Full Name | Hendrix Medical Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2709 W Kingshighway, Paragould, Arkansas |
| Authorized Official Name and Position | Barry Dewane Hendrix (OWNER PHYSICIAN) |
| Authorized Official Contact | 8702367272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hendrix Medical Services Pllc 2709 W Kingshighway Suite 6 Paragould AR 72450-4141 Ph: (870) 236-7272 | Hendrix Medical Services Pllc 2709 W Kingshighway Suite 6 Paragould AR 72450-4141 Ph: (870) 236-7272 |
| NPI Number | 1023157682 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 03/15/2017 |
| Medicare PECOS PAC ID | 7113992454 |
|---|---|
| Medicare Enrollment ID | O20070501000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023157682 | NPI | - | NPPES |
| 130230001 | Medicaid | AR | |
| CI2041 | Other | AR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E-0965 (Arkansas) | Primary |
| Provider Name | Barry Hendrix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558440180 PECOS PAC ID: 0749255081 Enrollment ID: I20041004000594 |
| Provider Name | Heather E Bastel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396712287 PECOS PAC ID: 8022045160 Enrollment ID: I20050720000985 |
| Provider Name | Deborah A Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245200468 PECOS PAC ID: 1254351265 Enrollment ID: I20051205000641 |
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