Andrea J Eberle, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

E-2034 Issued in AR

Practice address

1109 Burman Dr
Jacksonville, AR 72076-4386

Phone

(501) 982-7575

Fax

(501) 982-7510

NPI assigned

Oct 24, 2006

Last updated

Aug 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

University of Cincinnati College of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Counseling Clinic IncGroup PAC ID 6204885304, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saline Memorial Hospital Hospital, Benton, AR, CCN 040084

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Clinic, Inc

  • Psychiatry Physician
  • Benton, AR
  • NPI 1649267659
  Medicare reassignment Care Compare group NPD
• Counseling Clinic, Inc.

  • Community/Behavioral Health Agency
  • Hot Springs, AR
  • NPI 1578870663
  NPD
• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, AR
  • NPI 1053934703
  NPD
• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  NPD (past)
• Professional Counseling Associates Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lonoke, AR
  • NPI 1356965990
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saline Hospital LLC

  dba Saline Memorial Hospital

  • General Acute Care Hospital
  • Benton, AR
  • NPI 1235111071
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1588748990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15968",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722315968",
            "telephone_number": "501-221-1843",
            "fax_number": "501-221-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BURMAN DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764386",
            "telephone_number": "501-982-7575",
            "fax_number": "501-982-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERLE",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-2034",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "AR",
            "license": "E-2034",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "AR",
            "license": "E-2034",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135989001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "5L052",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Q Pain & Spine Clinic, PA (Arkansas Spine and Pain)
• Dr. Frances Renee Montgomery
• Dr. Joe B. Collins
• Bethany Brooke Dunn
• Early Learning Pediatric Therapy, Inc
• Brandi Lashaye Edwards, LCSW
• Michael Elizabeth Ellis, RBT
• Kelsey Lillard Embry, PLMSW
• Chevron L. Ergle, O.D.
• Vicky Evans, M.S., CCC-SLP

• Internal Medicine Physician in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.