Paul E Bean, MD
Individual provider Active NPI Internal Medicine Physician · Fort Smith, AR
NPI 1790714269 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790714269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- E-1512 (AR)
- Practice address
- 6801 Rogers Ave
Fort Smith, AR 72903-4067 - Phone
- (479) 452-2077
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Fort Smith Communities
Practice addresses (Care Compare)
7001 Rogers Ave
Suite 401a
Fort Smith, AR 72903-4034
Phone (479) 314-4650
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-5175
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 |
|---|---|---|---|---|
| I20070207000684 | AR | Practitioner - Internal Medicine | 3678575495 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
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 | |
| Mercy Clinic Fort Smith Communities | Current |
Accepting new patients | |
| Cooper Clinic, PA | Past | Accepting new patients | |
| Cooper Clinic PA | Past | Accepting new patients | |
| Mercy Medical Services, Inc | Past | Accepting new patients |
Locations
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
7001 Rogers Ave
Ste 401A
Fort Smith, AR 72903
Phone (479) 314-4650
7001 Rogers Ave
Fort Smith, AR 72903
Phone (479) 478-3510
2901 S 74th St
Fort Smith, AR 72903
Phone (479) 314-1101
6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000
7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620
Interoperability endpoints
- pbean134907@directc.mercy.net
- pbean124883@directb.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-1512 | AR | Yes |
Addresses
Primary practice location
6801 Rogers Ave
Fort Smith, AR 72903-4067
Mailing address
PO Box 3528
Fort Smith, AR 72913-3528
Phone (479) 452-2077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136949001 | Medicaid | AR |
Other providers in Fort Smith, AR
- Bdub Counseling
- Allen L Beachy
- Beacon Drive Inn of Booneville,Inc
- Randall Scott Beallis
- Laurie Ann Beam
- David J Beare
- Stephanie Louise Beasley
- Timothy Beasley
- Pearl Beason
- Beau Sparkman D.D.S., P.a.
All providers in Fort Smith, 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 Jul 8, 2007. 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.