| Neaville Internal Medicine Pllc | |
|
3000 Jennings Ln Ste H Batesville AR 72501-7255 | |
| (870) 307-4339 | |
| Not Available |
| Full Name | Neaville Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Jennings Ln Ste H, Batesville, Arkansas |
| Authorized Official Name and Position | Gregory Wayne Neaville (OWNER AND PHYSICIAN) |
| Authorized Official Contact | 8703074339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neaville Internal Medicine Pllc 3000 Jennings Ln Ste H Batesville AR 72501-7255 Ph: (870) 307-4339 | Neaville Internal Medicine Pllc 3000 Jennings Ln Ste H Batesville AR 72501-7255 Ph: (870) 307-4339 |
| NPI Number | 1578176020 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 07/12/2022 |
| Medicare PECOS PAC ID | 0749609154 |
|---|---|
| Medicare Enrollment ID | O20201005002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578176020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Jenny L Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851058804 PECOS PAC ID: 9537551882 Enrollment ID: I20220118000630 |
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