Primary Care 360 - Medicare Primary Care in Sherwood, AR

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Primary Care 360 is a medicare enrolled primary clinic (Family Medicine) in Sherwood, Arkansas. The current practice location for Primary Care 360 is 100 Shadow Oaks Dr, Sherwood, Arkansas. For appointments, you can reach them via phone at (501) 486-4045. The mailing address for Primary Care 360 is 100 Shadow Oaks Dr, Sherwood, Arkansas and phone number is (501) 486-4045.

Primary Care 360 is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124678586. 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) 486-4045.

Contact Information

Primary Care 360
100 Shadow Oaks Dr
Sherwood
AR 72120-6046
(501) 486-4045
Not Available

Map and Direction


Primary Care Clinic Profile

Full NamePrimary Care 360
SpecialityFamily Medicine
Location100 Shadow Oaks Dr, Sherwood, Arkansas
Authorized Official Name and PositionKhalid Rayaz (OWNER)
Authorized Official Contact5018334001
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Primary Care 360
100 Shadow Oaks Dr
Sherwood
AR 72120-6046

Ph: (501) 486-4045		Primary Care 360
100 Shadow Oaks Dr
Sherwood
AR 72120-6046

Ph: (501) 486-4045

NPI Details:

NPI Number1124678586
Provider Enumeration Date09/18/2019
Last Update Date10/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4183050842
Medicare Enrollment IDO20200129001002

Medical Identifiers

Medical identifiers for Primary Care 360 such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124678586NPI-NPPES
E-4732OtherARSTATE LICENSE

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. Primary Care 360 acts as a billing entity for following providers:
Provider NameMark A Smith
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174529887
PECOS PAC ID: 6305897141
Enrollment ID: I20050209000284
Provider NameRaul R Ramirez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720081789
PECOS PAC ID: 9638126568
Enrollment ID: I20060717000359
Provider NameMuhammad Shajaat
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417995457
PECOS PAC ID: 7416953252
Enrollment ID: I20061018000348
Provider NameSarah M Williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326282799
PECOS PAC ID: 2961553540
Enrollment ID: I20090622000108
Provider NameKhalid Rayaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023107935
PECOS PAC ID: 5193878379
Enrollment ID: I20090805000643
Provider NameTheresa Ann Lybrand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659663250
PECOS PAC ID: 6901840263
Enrollment ID: I20110623000366
Provider NameCourtney J. Fallen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609286780
PECOS PAC ID: 7719103407
Enrollment ID: I20140804000045
Provider NameJulia Chambers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508254962
PECOS PAC ID: 2567786577
Enrollment ID: I20150122001959
Provider NameMahreen Arshad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780095323
PECOS PAC ID: 8325308869
Enrollment ID: I20180201001530
Provider NameRomana Rayaz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821172651
PECOS PAC ID: 7810249521
Enrollment ID: I20181008002824
Provider NameMustafa Rayaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558744128
PECOS PAC ID: 3870841018
Enrollment ID: I20181206001158
Provider NameJamie Chasteen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154966349
PECOS PAC ID: 4486084464
Enrollment ID: I20200414003097
Provider NameLesia Pratt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740756659
PECOS PAC ID: 2365872397
Enrollment ID: I20200415001558
Provider NameShawn Franklin Gasaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215561642
PECOS PAC ID: 9335119197
Enrollment ID: I20200908000086
Provider NameLauren Ashley Osburne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417184383
PECOS PAC ID: 5597171579
Enrollment ID: I20210317001964
Provider NameMohammed Sammy Knefati
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942706544
PECOS PAC ID: 4880094192
Enrollment ID: I20210608002056
Provider NameHayley Leighann Rosnermanz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619547478
PECOS PAC ID: 0143624965
Enrollment ID: I20210802001033
Provider NameHasan Rana
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053848457
PECOS PAC ID: 2961770995
Enrollment ID: I20210817000828
Provider NameTabatha Gail Vocque
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740869007
PECOS PAC ID: 7315343324
Enrollment ID: I20210831000169

Reviews and Comments


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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.