| Reevesmed | |
|
1415 E Centerton Blvd Centerton AR 72719 | |
| (479) 224-1565 | |
| (844) 758-8644 |
| Full Name | Reevesmed |
|---|---|
| Speciality | Internal Medicine |
| Location | 1415 E Centerton Blvd, Centerton, Arkansas |
| Authorized Official Name and Position | Carolyn R Reeves (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4792241565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reevesmed 1415 E Centerton Blvd Centerton AR 72719-7050 Ph: (479) 224-1565 | Reevesmed 1415 E Centerton Blvd Centerton AR 72719 Ph: (479) 224-1565 |
| NPI Number | 1568975761 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 06/30/2022 |
| Medicare PECOS PAC ID | 5395094833 |
|---|---|
| Medicare Enrollment ID | O20180816002760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568975761 | NPI | - | NPPES |
| 182936003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Secondary |
| Provider Name | Carolyn Reeves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124228382 PECOS PAC ID: 5395881700 Enrollment ID: I20100805000462 |
Community Clinic Centerton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 E Centerton Blvd, Centerton, AR 72719 Phone: 479-751-7417 Fax: 479-751-4898 | |
Serc - Centerton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 E Centerton Blvd, Centerton, AR 72719 Phone: 479-795-0173 Fax: 479-795-0467 | |
Conover Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Sun Meadow Dr, Centerton, AR 72719 Phone: 479-795-0426 Fax: 479-795-0427 |