| Randy D. Walker, M.d., P.l.l.c. | |
|
1553 W Collin Raye Dr De Queen AR 71832-3801 | |
| (870) 584-3000 | |
| (870) 584-3003 |
| Full Name | Randy D. Walker, M.d., P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1553 W Collin Raye Dr, De Queen, Arkansas |
| Authorized Official Name and Position | Randy Dean Walker (OWNER) |
| Authorized Official Contact | 8705843000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy D. Walker, M.d., P.l.l.c. Po Box 740 De Queen AR 71832-0740 Ph: (870) 584-3000 | Randy D. Walker, M.d., P.l.l.c. 1553 W Collin Raye Dr De Queen AR 71832-3801 Ph: (870) 584-3000 |
| NPI Number | 1114185121 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 09/03/2013 |
| Medicare PECOS PAC ID | 0345468724 |
|---|---|
| Medicare Enrollment ID | O20140826002759 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114185121 | NPI | - | NPPES |
| 145639001 | Medicaid | AR | |
| 5L991 | Other | AR | ARKANSAS BLUE CROSS AND BLUE SHIELD |
| 145640002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Randy Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730185752 PECOS PAC ID: 3779681499 Enrollment ID: I20070604000693 |
| Provider Name | Elizabeth Polo Beckel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699966465 PECOS PAC ID: 1052499050 Enrollment ID: I20080416000576 |
| Provider Name | Devin D Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790180248 PECOS PAC ID: 9537476312 Enrollment ID: I20160920000328 |
| Provider Name | Phillip J Glasgow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306230586 PECOS PAC ID: 4183900400 Enrollment ID: I20170420001274 |
| Provider Name | Samantha K Lampi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124537162 PECOS PAC ID: 2860758554 Enrollment ID: I20171114000052 |
| Provider Name | Colleen Michelle Janes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326544305 PECOS PAC ID: 3577828516 Enrollment ID: I20180523000268 |
| Provider Name | Jessica Ann Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124584503 PECOS PAC ID: 0648513739 Enrollment ID: I20190513000638 |
| Provider Name | Tonya Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720613482 PECOS PAC ID: 8022449057 Enrollment ID: I20200507001308 |
| Provider Name | Bradley W Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932707346 PECOS PAC ID: 3577818608 Enrollment ID: I20201124001438 |
| Provider Name | Ginger Lee Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548869845 PECOS PAC ID: 7012328917 Enrollment ID: I20201125001454 |
| Provider Name | Dena Kaye Hibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770173536 PECOS PAC ID: 4587070248 Enrollment ID: I20210304002047 |
| Provider Name | Meaghan Elana Harder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255084042 PECOS PAC ID: 4880089333 Enrollment ID: I20220318001166 |
| Provider Name | Kara Lynn Osuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225781032 PECOS PAC ID: 2365836921 Enrollment ID: I20220601001278 |
Jonathan L. Hoyt, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Highway 71 N, De Queen, AR 71832 Phone: 870-642-5600 | |
De Queen Family Medical Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 E Collin Raye Dr, De Queen, AR 71832 Phone: 870-584-3627 | |
De Queen Medical Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1314 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-642-2273 Fax: 870-642-2162 | |
Mitchell Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Highway 71 N, De Queen, AR 71832 Phone: 870-642-8818 | |
Healthy Connections Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 W Collin Raye Dr, De Queen, AR 71832 Phone: 888-710-8220 | |
De Queen Pediatrics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1357 W Collin Raye Dr, De Queen, AR 71832 Phone: 870-642-4364 |