Individual provider Active NPI

Bill R McCourtney II, MD

  • Family Medicine Physician
  • Mena, AR
National Provider Identifier
1811985831
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3174 Issued in AR
Practice address
1210 Dequeen St
Mena, AR 71953-4132
Phone
(479) 243-0303
Fax
(479) 243-0320
NPI assigned
Oct 12, 2005
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3174 AR Primary

Addresses

Primary practice location

1210 Dequeen St
Mena, AR 71953-4132

Mailing address

1210 Dequeen St
Mena, AR 71953-4132
Phone (479) 243-0303

Other identifiers 2

IdentifierTypeStateIssuer
145539001MedicaidAR
5M011OtherARBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041011000185 AR Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 5193784551 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ouachita Family Practice LLCGroup PAC ID 4385705789, 3 clinicians

Practice addresses (Care Compare)

1210 Dequeen St
Mena, AR 71953-4132
Phone (479) 394-5068

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions51
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3174ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Booneville CurrentSince Oct 25, 2021 Accepting new patients
Correct Care, Inc. CurrentSince Jan 4, 2014 Accepting new patients
Ouachita Family Practice LLC Family Medicine CurrentSince Mar 15, 2019 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Jan 1, 2011 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 25, 2021 Accepting new patients
Mercy Hospital Paris CurrentSince Oct 25, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Oct 25, 2021 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Booneville CurrentSince Oct 25, 2021 Accepting new patients
Arkansas Methodist Hospital Corporation Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1210 Dequeen St
Mena, AR 71953
Phone (479) 243-0303

311 Morrow St N
Mena, AR 71953
Phone (479) 394-6100

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIEAD

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1811985831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 DEQUEEN ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534132",
            "telephone_number": "479-243-0303",
            "fax_number": "479-243-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DEQUEEN ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534132",
            "telephone_number": "479-243-0303",
            "fax_number": "479-243-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURTNEY",
        "first_name": "BILL",
        "middle_name": "R",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145539001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5M011",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mena, AR

Sources for this page

Verify at the official NPI Registry.