Southside Medical Clinic - Medicare Primary Care in Fort Smith, AR

Southside Medical Clinic is a medicare enrolled primary clinic (Internal Medicine) in Fort Smith, Arkansas. The current practice location for Southside Medical Clinic is 623 S 21st St, Fort Smith, Arkansas. For appointments, you can reach them via phone at (479) 441-1500. The mailing address for Southside Medical Clinic is 623 S 21st St, Fort Smith, Arkansas and phone number is (479) 441-1500.

Southside Medical Clinic is licensed to practice in Arkansas (license number E-1751). The clinic also participates in the medicare program and its NPI number is 1205248259. 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 (479) 441-1500.

Contact Information

Southside Medical Clinic
623 S 21st St
Fort Smith
AR 72901-3914
(479) 441-1500
(479) 441-1502

Map and Direction


Primary Care Clinic Profile

Full NameSouthside Medical Clinic
SpecialityInternal Medicine
Location623 S 21st St, Fort Smith, Arkansas
Authorized Official Name and PositionThuylinh Ho Pham (PHYSICIAN)
Authorized Official Contact4794411500
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southside Medical Clinic
623 S 21st St
Fort Smith
AR 72901-3914

Ph: (479) 441-1500
Southside Medical Clinic
623 S 21st St
Fort Smith
AR 72901-3914

Ph: (479) 441-1500

NPI Details:

NPI Number1205248259
Provider Enumeration Date05/27/2014
Last Update Date05/27/2014

Medicare PECOS Information:

Medicare PECOS PAC ID7214151661
Medicare Enrollment IDO20140605000542

Medical Identifiers

Medical identifiers for Southside Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205248259NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine E-1751 (Arkansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southside Medical Clinic acts as a billing entity for following providers:
Provider NameThuylinh H Pham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356396790
PECOS PAC ID: 7012994593
Enrollment ID: I20040701001516

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.