Clint Allen Bacchus (NPI# 1053840447, PAC ID# 3072872530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1053840447 |
| PAC ID by PECOS | 3072872530 |
| Professional Enrollment ID | I20180110000188 |
| Full Name | Clint Allen Bacchus |
| Address |
1310 E Main St Clarksville AR 72830-9554 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1310 E Main St, Clarksville, AR 72830-9554 |
| Street Address |
1310 E MAIN ST |
| City | CLARKSVILLE |
| State | AR |
| Zip | 72830-9554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca King | Optometry | 210 W Main St, Clarksville, AR 72830-3019 | |
| Richard L Mcdougal | Ophthalmology | 709 W Main St, Clarksville, AR 72830-3410 | |
| Ashley N Gattis | Nurse Practitioner | River Valley Primary Care Services | 708 W Main St, Clarksville, AR 72830-3411 |
| Susan K Gateley | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Catherine S Miranda | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Mary Janell Burch | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Jess E Jordan | Nurse Practitioner | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| John C Dunham | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Sarah M Woodruff | Family Medicine | Clarksville Medical Group, P.a. | 601 W Mckennon St, Clarksville, AR 72830-3523 |
| Consuella R Flurry | Physical Therapy | 112 S Fulton St, Clarksville, AR 72830-3612 | |
| Find all physicians in zip 72830 | |||
| City | CLARKSVILLE |
| Zip Code | 72830 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CLARKSVILLE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Clint Allen Bacchus.
| 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.