Ben P Folk Iii (NPI# 1629010012, PAC ID# 4880629492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1629010012 |
| PAC ID by PECOS | 4880629492 |
| Professional Enrollment ID | I20080912000396 |
| Full Name | Ben P Folk Iii |
| Address |
2729s Hwy 65 82 Lake Village AR 71653-6136 |
| Phone Number | 8702655351 |
| Gender | M |
| Medical School | VANDERBILT UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250082 | DELTA REGIONAL MEDICAL CENTER |
| 041328 | CHICOT MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1502 S Colorado St, Greenville, MS 38703-7219 | 6623329872 | THE GREENVILLE CLINIC |
| 2729s Hwy 65 82, Lake Village, AR 71653-6136 | 8702655351 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
2729S HWY 65 82 |
| City | LAKE VILLAGE |
| State | AR |
| Zip | 71653-6136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amita N Patel | Nephrology | 1403 St Mary, Lake Village, AR 71653-0001 | |
| Autumn M Bennett | Nurse Practitioner | 905 Borgognoni Dr, Lake Village, AR 71653-1623 | |
| Mark Robinson | Optometry | 1655 S Hwy 65 82, Lake Village, AR 71653-1661 | |
| James C Wright | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Jo Anne Gregory | Family Medicine | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| Christopher M Johnson | Nurse Practitioner | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| John P Burge | General Surgery | Lake Village Clinic Pa | 2918 Louis Session St, Lake Village, AR 71653-6049 |
| John R Russell | Family Medicine | 2918 Louis Session St, Lake Village, AR 71653-6049 | |
| Mohanned H Ahmed | Family Medicine | Arkansas Emergency Staffing Solutions Inc | 2729 S Hwy 65 and 82, Lake Village, AR 71653-6136 |
| Justin G Gates | Certified Registered Nurse Anesthetist (crna) | Chicot Memorial Medical Center | 2729 Hwy 65 and 82 S, Chicot Memorial Anesthesia Services, Lake Village, AR 71653-6136 |
| Find all physicians in zip 71653 | |||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | LAKE VILLAGE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Ben P Folk Iii.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.