Allen L Beachy, MD
Individual provider Active NPI Family Medicine Physician · Fort Smith, AR
NPI 1104853860 · NPPES record last updated Oct 30, 2019
Key facts
- NPI
- 1104853860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- N-6926 (AR)
- Practice address
- 3700 Cliff Dr
Fort Smith, AR 72903-5954 - Phone
- (479) 259-9286
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Fands Physical Therapy, Inc
Mercy Clinic Fort Smith Communities
Practice addresses (Care Compare)
1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321
9101 Jenny Lind Rd
Fort Smith, AR 72908-9142
Phone (479) 274-6000
Hospital & facility affiliations
- Elite Home Health
- Mercy Home Health
- Adoration Home Health
- Access Home Health
- Mercy Hospital Fort Smith
- Sequoyah County-City of Sallisaw Hospital Authorit
- Baptist Health - Fort Smith
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 12 |
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 |
|---|---|---|---|---|
| I20090702000365 | AR | Practitioner - Family Practice | 4789735754 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-6926 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients |
Locations
9101 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 274-6000
1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
3700 Cliff Dr
Fort Smith, AR 72903
Phone (479) 259-9286
7001 Rogers Ave
Fort Smith, AR 72903
Phone (479) 478-3510
Interoperability endpoints
- abeachy134885@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | N-6926 | AR | Yes |
Addresses
Primary practice location
3700 Cliff Dr
Fort Smith, AR 72903-5954
Mailing address
PO Box 3528
Fort Smith, AR 72913-3528
Phone (479) 274-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080017763 | Other | RR MEDICARE | |
| 110987001 | Medicaid | AR |
Other providers in Fort Smith, AR
- Graham Baty
- Emily Bautista
- Seth Bayird
- BD Specialist, PLLC
- Bdub Counseling
- Beacon Drive Inn of Booneville,Inc
- Randall Scott Beallis
- Laurie Ann Beam
- Paul E Bean
- David J Beare
All providers in Fort Smith, 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 Oct 30, 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.