Active NPI
Bill R McCourtney II, MD
- Family Medicine Physician
- Mena, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E3174
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145539001 | Medicaid | AR | |
| 5M011 | Other | AR | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
Practice addresses (Care Compare)
1210 Dequeen St
Mena, AR 71953-4132
Phone (479) 394-5068
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 51 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3174 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Booneville | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| Ouachita Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Arkansas Emergency Staffing Solutions, Inc | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Paris | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Mercy Hospital Waldron | Current | Accepting new patients | |
| Mercy Hospital Booneville | Current | 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
- 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.
-
- Emergency Medicine Physician
- Hope, AR
- NPI 1275774630
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Certified Registered Nurse Anesthetist
- Booneville, AR
- NPI 1083004733
-
- Critical Access Hospital
- Booneville, AR
- NPI 1992133714
-
- Critical Access Hospital
- Waldron, AR
- NPI 1912978875
-
- Critical Access Hospital
- Ozark, AR
- NPI 1275504128
-
- Emergency Care Clinic/Center
- Ozark, AR
- NPI 1881642767
-
- Emergency Care Clinic/Center
- Paris, AR
- NPI 1518915321
-
- Critical Access Hospital
- Paris, AR
- NPI 1760453633
-
- Endocrinology, Diabetes & Metabolism Physician
- Fort Smith, AR
- NPI 1790258002
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mena Regional Health System
- Critical Access Hospital
- Mena, AR
- NPI 1861449639
-
dba Elite Hospice
- Community Based Hospice Care Agency
- Mena, AR
- NPI 1265516587
-
- Critical Access Hospital
- Booneville, AR
- NPI 1992133714
-
- Critical Access Hospital
- Waldron, AR
- NPI 1912978875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.