Shipley & Sills Family Practice, Pllc - Medicare Primary Care in Fort Smith, AR

Shipley & Sills Family Practice, Pllc is a medicare enrolled primary clinic (Family Medicine - Adult Medicine) in Fort Smith, Arkansas. The current practice location for Shipley & Sills Family Practice, Pllc is 4003 Massard Rd., Fort Smith, Arkansas. For appointments, you can reach them via phone at (479) 226-3836. The mailing address for Shipley & Sills Family Practice, Pllc is 4003 Massard Rd, Fort Smith, Arkansas and phone number is (479) 226-3836.

Shipley & Sills Family Practice, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104105972. 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) 226-3836.

Contact Information

Shipley & Sills Family Practice, Pllc
4003 Massard Rd.
Fort Smith
AR 72903
(479) 226-3836
(479) 434-5987

Primary Care Clinic Profile

Full NameShipley & Sills Family Practice, Pllc
SpecialityFamily Medicine
Location4003 Massard Rd., Fort Smith, Arkansas
Authorized Official Name and PositionMelissa Pulliam (BUSINESS MANAGER)
Authorized Official Contact4792263836
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shipley & Sills Family Practice, Pllc
4003 Massard Rd
Fort Smith
AR 72903

Ph: (479) 226-3836
Shipley & Sills Family Practice, Pllc
4003 Massard Rd.
Fort Smith
AR 72903

Ph: (479) 226-3836

NPI Details:

NPI Number1104105972
Provider Enumeration Date08/11/2011
Last Update Date07/28/2014

Medicare PECOS Information:

Medicare PECOS PAC ID3870751969
Medicare Enrollment IDO20120221000432

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Medical Identifiers

Medical identifiers for Shipley & Sills Family Practice, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104105972NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult 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. Shipley & Sills Family Practice, Pllc acts as a billing entity for following providers:
Provider NameDavid Barton Sills
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063409878
PECOS PAC ID: 7012826498
Enrollment ID: I20040211001239

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Provider NameWendy A Gaston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548204654
PECOS PAC ID: 3072564806
Enrollment ID: I20050312000051

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Provider NameDonna M. Shipley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205970209
PECOS PAC ID: 3577637560
Enrollment ID: I20080808000779

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Provider NameSunny Deshai Bray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437517281
PECOS PAC ID: 9739484718
Enrollment ID: I20160301000064

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Provider NameJanice Darlene Sudbrink
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295192847
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