| P. Reddy Tukivakala, M.d., P.a. | |
|
810 Newman Dr # A Helena AR 72342-8950 | |
| (870) 338-7441 | |
| (870) 338-7945 |
| Full Name | P. Reddy Tukivakala, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 Newman Dr # A, Helena, Arkansas |
| Authorized Official Name and Position | Sheila A. Privett (OFFICE MANAGER) |
| Authorized Official Contact | 8703387441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| P. Reddy Tukivakala, M.d., P.a. Po Box 806 Helena AR 72342-0806 Ph: (870) 338-7441 | P. Reddy Tukivakala, M.d., P.a. 810 Newman Dr # A Helena AR 72342-8950 Ph: (870) 338-7441 |
| NPI Number | 1689798449 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 07/02/2009 |
| Medicare PECOS PAC ID | 0840343000 |
|---|---|
| Medicare Enrollment ID | O20090805000445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689798449 | NPI | - | NPPES |
| 119045002 | Medicaid | AR | |
| 5B386 | Other | AR | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R4048 (Arkansas) | Primary |
| Provider Name | Prabhakara Tukivakala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659474161 PECOS PAC ID: 2567439250 Enrollment ID: I20050104001109 |
| Provider Name | Karen Denise Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467543488 PECOS PAC ID: 9537105937 Enrollment ID: I20050707000755 |
| Provider Name | Shelley A Cullum-bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285186221 PECOS PAC ID: 4486925633 Enrollment ID: I20171227000387 |
Phillips Clinic Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1803 Martin Luther King Jr Dr Ste A, Helena, AR 72342 Phone: 870-338-7441 Fax: 870-338-7945 | |
Webber Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Pecan St, Helena, AR 72342 Phone: 870-338-9244 Fax: 870-338-9278 | |
Uams East Fmc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1393 Highway 242 S, Helena, AR 72342 Phone: 870-572-2727 Fax: 870-572-6558 | |
Bell Clinic P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 626 Poplar St, Helena, AR 72342 Phone: 870-338-8163 Fax: 870-338-7810 | |
Bailey Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109b Professional Plz, Helena, AR 72342 Phone: 870-228-1480 Fax: 870-228-1475 | |
Cypert Ridge Family Practice Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 812 Newman Dr, Suite B, Helena, AR 72342 Phone: 870-338-8308 Fax: 870-338-7702 | |
East Arkansas Family Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 513 Porter St, Helena, AR 72342 Phone: 870-817-0122 Fax: 870-817-0058 |