| Prestige Care, PLLC | |
|
411 W Washington Ave Ste B Jonesboro AR 72401-2781 | |
| (870) 275-4272 | |
| (870) 275-4277 |
| Full Name | Prestige Care, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 411 W Washington Ave Ste B, Jonesboro, Arkansas |
| Authorized Official Name and Position | Benjamin Wagner Carlyle (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4794986700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Care, PLLC Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Prestige Care, PLLC 411 W Washington Ave Ste B Jonesboro AR 72401-2781 Ph: (870) 275-4272 |
| NPI Number | 1346032208 |
|---|---|
| Provider Enumeration Date | 05/19/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Medicare PECOS PAC ID | 3476072992 |
|---|---|
| Medicare Enrollment ID | O20250528000836 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346032208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Benjamin W Carlyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184882383 PECOS PAC ID: 9032384292 Enrollment ID: I20111216000211 |
| Provider Name | Laura M Weatherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861744773 PECOS PAC ID: 8123247616 Enrollment ID: I20140916000595 |
| Provider Name | Necole L Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265814529 PECOS PAC ID: 2264745801 Enrollment ID: I20151130000651 |
| Provider Name | Amy M Elms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481589 PECOS PAC ID: 4688930837 Enrollment ID: I20171104000013 |
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