George Scott Dicus, MD
Individual provider Active NPI Internal Medicine Physician · Benton, AR
NPI 1033100433 · NPPES record last updated May 28, 2019
Key facts
- NPI
- 1033100433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- E-0536 (AR)
- Practice address
- 1 Medical Park Dr
Benton, AR 72015-3353 - Phone
- (501) 776-6000
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inpatient Solutions
Practice addresses (Care Compare)
5 Medical Park Dr
Suite 304
Benton, AR 72015-3745
Phone (501) 408-2429
Hospital & facility affiliations
- Unity Health - Jacksonville
- Arkansas Heart Hospital-Encore
- St Marys Regional Medical Center
- Arkansas Surgical Hospital
- Saline Memorial Hospital
- Saline Memorial Hospital
- Advanced Care Hospital White County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040615001315 | AR | Practitioner - Internal Medicine | 0446234603 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-0536 | AR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Physician Services LLC | Internal Medicine | Current |
Accepting new patients |
| St Marys Physician Services, LLC | Current |
Accepting new patients | |
| Inpatient Solutions | Internal Medicine | Current |
Accepting new patients |
| Arkansas Heart Hospital, LLC | Current |
Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current |
Accepting new patients | |
| Saline Clinics LLC | Internal Medicine | Current |
Accepting new patients |
| St Marys Physician Services, LLC | Past | Accepting new patients |
Locations
5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345
Interoperability endpoints
- https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-0536 | AR | Yes |
Addresses
Primary practice location
1 Medical Park Dr
Benton, AR 72015-3353
Mailing address
610 Shepherd Dr
Searcy, AR 72143-6873
Phone (501) 268-6831
Other practice location 1
610 Shepherd Dr
Searcy, AR 72143-6873
Phone (501) 268-6831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131800001 | Medicaid | AR |
Other providers in Benton, AR
- Ashley Delo
- Melvin Dennis
- Barry Jason Derden
- Jeremy Lynn Dicicco
- Jennifer Dickson
- Robin Dietrich
- Nina M. Diggins
- Hilary Dimassimo
- Phillip Joshua Din
- Lynn Christine Dineen
All providers in Benton, AR · Internal Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.