Lance E. Monroe, MD
Individual provider Active NPI Family Medicine Physician · Paragould, AR
NPI 1083677058 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1083677058
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- C5083 (AR)
- Practice address
- 4000 Linwood Dr
Suite a
Paragould, AR 72450-7223 - Phone
- (870) 239-8503
- Fax
- (870) 240-2017
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors Health Group, Inc
Practice addresses (Care Compare)
4000 Linwood Dr
Suite a
Paragould, AR 72450-7224
Phone (870) 239-8503
4000 Linwood Dr
Suite a
Paragould, AR 72450-8894
Hospital & facility affiliations
- St Bernards Medical Center
- Arkansas Methodist Medical Center
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 |
|---|---|---|---|---|
| I20041207001102 | AR | Practitioner - Family Practice | 4082670476 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5083 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Health Group, Inc | Current |
Accepting new patients | |
| St Bernards Physician Clinics Inc | Current | Accepting new patients | |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| Doctors Health Group, Inc | Past | Accepting new patients |
Locations
4000 Linwood Dr
Ste A
Paragould, AR 72450
Phone (870) 239-8503
Interoperability endpoints
- lancemonroe@sbpc.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5083 | AR | Yes |
Addresses
Primary practice location
4000 Linwood Dr
Suite a
Paragould, AR 72450-7223
Mailing address
4000 Linwood Dr
Suite a
Paragould, AR 72450-7223
Phone (870) 239-8503
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117963001 | Medicaid | AR | |
| 11036000040 | Other | AR | QUALCHOICE |
Other providers in Paragould, AR
- Paige Ashley Mitchell
- Rebecca Lynn Mitchell
- Teddi Mitchell
- Kelly Money
- April Renee Monreal
- Evelyn Montes
- Debbie Moody
- Tressa Moody
- Amber Moore
- Casie Lee Moore
All providers in Paragould, AR · Family 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 Mar 31, 2015. 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.