Northwest Arkansas Internal Medicine, Pllc - Medicare Primary Care in Bentonville, AR

Northwest Arkansas Internal Medicine, Pllc is a medicare enrolled primary clinic (Internal Medicine) in Bentonville, Arkansas. The current practice location for Northwest Arkansas Internal Medicine, Pllc is 2805 Mid Cities Dr, Suite 3, Bentonville, Arkansas. For appointments, you can reach them via phone at (479) 876-8866. The mailing address for Northwest Arkansas Internal Medicine, Pllc is 2805 Mid Cities Dr, Suite 3, Bentonville, Arkansas and phone number is (479) 876-8866.

Northwest Arkansas Internal Medicine, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053615211. 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) 876-8866.

Contact Information

Northwest Arkansas Internal Medicine, Pllc
2805 Mid Cities Dr
Suite 3
Bentonville
AR 72712-4270
(479) 876-8866
Not Available

Primary Care Clinic Profile

Full NameNorthwest Arkansas Internal Medicine, Pllc
SpecialityInternal Medicine
Location2805 Mid Cities Dr, Bentonville, Arkansas
Authorized Official Name and PositionRuben Tejada (OWNER)
Authorized Official Contact4797518881
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northwest Arkansas Internal Medicine, Pllc
2805 Mid Cities Dr
Suite 3
Bentonville
AR 72712-4270

Ph: (479) 876-8866
Northwest Arkansas Internal Medicine, Pllc
2805 Mid Cities Dr
Suite 3
Bentonville
AR 72712-4270

Ph: (479) 876-8866

NPI Details:

NPI Number1053615211
Provider Enumeration Date01/03/2011
Last Update Date01/03/2011

Medicare PECOS Information:

Medicare PECOS PAC ID6800072695
Medicare Enrollment IDO20110511000711

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Medical Identifiers

Medical identifiers for Northwest Arkansas Internal Medicine, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053615211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal 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. Northwest Arkansas Internal Medicine, Pllc acts as a billing entity for following providers:
Provider NameRuben A Tejada
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053473231
PECOS PAC ID: 7911896675
Enrollment ID: I20040311001284

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