| Pioneer Medical Clinics Pllc | |
|
1311 E Main St Piggott AR 72454-9400 | |
| (901) 603-6113 | |
| Not Available |
| Full Name | Pioneer Medical Clinics Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1311 E Main St, Piggott, Arkansas |
| Authorized Official Name and Position | Jeffery B Copeland (OWNER) |
| Authorized Official Contact | 9016036113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Medical Clinics Pllc 1311 E Main St Piggott AR 72454-9400 Ph: (901) 603-6113 | Pioneer Medical Clinics Pllc 1311 E Main St Piggott AR 72454-9400 Ph: (901) 603-6113 |
| NPI Number | 1457013930 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Medicare PECOS PAC ID | 6204225311 |
|---|---|
| Medicare Enrollment ID | O20211111000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457013930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather Ditto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346736717 PECOS PAC ID: 2264781137 Enrollment ID: I20180827001150 |
| Provider Name | Jeffery Copeland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245618768 PECOS PAC ID: 2769793249 Enrollment ID: I20180925003462 |
Piggott Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 425 West Jackson, Piggott, AR 72454 Phone: 870-598-2236 Fax: 870-598-3080 | |
Pioneer Medical Clinics Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1311 E Main St, Piggott, AR 72454 Phone: 901-603-6113 | |
Piggott Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Gordon Duckworth Dr, Piggott, AR 72454 Phone: 870-598-3881 Fax: 870-598-5716 |