North Little Rock Primary Care And Diagnostic Clinic Pllc - Medicare Primary Care in N Little Rock, AR

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North Little Rock Primary Care And Diagnostic Clinic Pllc is a medicare enrolled primary clinic (Family Medicine) in N Little Rock, Arkansas. The current practice location for North Little Rock Primary Care And Diagnostic Clinic Pllc is 400 W Pershing Blvd, N Little Rock, Arkansas. For appointments, you can reach them via phone at (501) 771-7717. The mailing address for North Little Rock Primary Care And Diagnostic Clinic Pllc is 400 W Pershing Blvd, N Little Rock, Arkansas and phone number is (501) 771-7717.

North Little Rock Primary Care And Diagnostic Clinic Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1306877576. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (501) 771-7717.

Contact Information

North Little Rock Primary Care And Diagnostic Clinic Pllc
400 W Pershing Blvd
N Little Rock
AR 72114-2146
(501) 771-7717
(501) 771-0550

Map and Direction


Primary Care Clinic Profile

Full NameNorth Little Rock Primary Care And Diagnostic Clinic Pllc
SpecialityFamily Medicine
Location400 W Pershing Blvd, N Little Rock, Arkansas
Authorized Official Name and PositionDerek Lewis (PRESIDENT)
Authorized Official Contact5017717717
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
North Little Rock Primary Care And Diagnostic Clinic Pllc
400 W Pershing Blvd
N Little Rock
AR 72114-2146

Ph: (501) 771-7717		North Little Rock Primary Care And Diagnostic Clinic Pllc
400 W Pershing Blvd
N Little Rock
AR 72114-2146

Ph: (501) 771-7717

NPI Details:

NPI Number1306877576
Provider Enumeration Date07/06/2006
Last Update Date01/03/2017

Medicare PECOS Information:

Medicare PECOS PAC ID0749462786
Medicare Enrollment IDO20110311000227

Medical Identifiers

Medical identifiers for North Little Rock Primary Care And Diagnostic Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306877576NPI-NPPES
5B979OtherARBLUE CROSS
133705002MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. North Little Rock Primary Care And Diagnostic Clinic Pllc acts as a billing entity for following providers:
Provider NameDerek Lewis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407810641
PECOS PAC ID: 8022903020
Enrollment ID: I20071120000713
Provider NameRose Marie Shaw Bullock
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1790749943
PECOS PAC ID: 5597933473
Enrollment ID: I20110720000246
Provider NameVincent Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235770942
PECOS PAC ID: 1658786751
Enrollment ID: I20210224000012

Reviews and Comments


Family Medicine in N Little Rock, AR

Muhammad Ali Siddiqui, Md Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4701 Fairway Ave, Suite D, N Little Rock, AR 72116
Phone: 501-975-3616    Fax: 501-975-6705
Govinda Lohani Md Pa
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 4020 Richards Rd Ste C, N Little Rock, AR 72117
Phone: 501-379-8115    Fax: 501-379-8075

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.