Riverside Medical Clinic - Medicare Primary Care in Lake City, AR

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Riverside Medical Clinic is a medicare enrolled primary clinic (Family Medicine) in Lake City, Arkansas. The current practice location for Riverside Medical Clinic is 803 Hwy 18, Lake City, Arkansas. For appointments, you can reach them via phone at (870) 237-1055. The mailing address for Riverside Medical Clinic is Po Box 910, Manila, Arkansas and phone number is (870) 561-3300.

Riverside Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1811206923. 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 (870) 237-1055.

Contact Information

Riverside Medical Clinic
803 Hwy 18
Lake City
AR 72347-0505
(870) 237-1055
(870) 237-1054

Map and Direction


Primary Care Clinic Profile

Full NameRiverside Medical Clinic
SpecialityFamily Medicine
Location803 Hwy 18, Lake City, Arkansas
Authorized Official Name and PositionTommy Wagner (OWNER)
Authorized Official Contact8705613300
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Riverside Medical Clinic
Po Box 910
Manila
AR 72442-0910

Ph: (870) 561-3300		Riverside Medical Clinic
803 Hwy 18
Lake City
AR 72347-0505

Ph: (870) 237-1055

NPI Details:

NPI Number1811206923
Provider Enumeration Date10/07/2010
Last Update Date08/02/2011

Medicare PECOS Information:

Medicare PECOS PAC ID5597944157
Medicare Enrollment IDO20110127001167

Medical Identifiers

Medical identifiers for Riverside Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811206923NPI-NPPES
187113002MedicaidAR

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. Riverside Medical Clinic acts as a billing entity for following providers:
Provider NameTommy Wayne Wagner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1952385064
PECOS PAC ID: 2264422195
Enrollment ID: I20040513000982
Provider NameKristi Statler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639136609
PECOS PAC ID: 6204810773
Enrollment ID: I20040614001504
Provider NameDanna Scott Deaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578667010
PECOS PAC ID: 0840267415
Enrollment ID: I20040913001412
Provider NameKristy Lynn Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134143472
PECOS PAC ID: 0345208815
Enrollment ID: I20041230000119
Provider NameHeather L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982671699
PECOS PAC ID: 5395784151
Enrollment ID: I20050430000066
Provider NameLacey Diane Poe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205069630
PECOS PAC ID: 3476609777
Enrollment ID: I20090928000401
Provider NameAndrea L Read
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174799258
PECOS PAC ID: 2466618590
Enrollment ID: I20120718000284
Provider NameKelsi B Price
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427738095
PECOS PAC ID: 4981057544
Enrollment ID: I20240130003282

Reviews and Comments


Family Medicine in Lake City, AR

Arcare 65
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1009 Highway 18, Lake City, AR 72437
Phone: 870-237-9928    Fax: 978-327-7971
Jordan Consulting Llc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 119 Cobean Blvd, Lake City, AR 72437
Phone: 870-819-7075    

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.