| Sama Physician Services Pllc | |
|
600 S Timberlane Dr # 600 El Dorado AR 71730-6990 | |
| (870) 862-2400 | |
| Not Available |
| Full Name | Sama Physician Services Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 S Timberlane Dr # 600, El Dorado, Arkansas |
| Authorized Official Name and Position | Pete Marshall Atkinson (ADMINISTRATOR) |
| Authorized Official Contact | 8708622400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sama Physician Services Pllc 600 S Timberlane Dr # 600 El Dorado AR 71730-6990 Ph: (870) 862-2400 | Sama Physician Services Pllc 600 S Timberlane Dr # 600 El Dorado AR 71730-6990 Ph: (870) 862-2400 |
| NPI Number | 1518505890 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Medicare PECOS PAC ID | 5294163028 |
|---|---|
| Medicare Enrollment ID | O20200310000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518505890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Russell E Hatley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932194974 PECOS PAC ID: 3678609591 Enrollment ID: I20100330001264 |
| Provider Name | Gary L Bevill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538154570 PECOS PAC ID: 9133016256 Enrollment ID: I20100506000553 |
| Provider Name | Christina L Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194166199 PECOS PAC ID: 1052635711 Enrollment ID: I20160721000293 |
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