Physician Management Services of Arkansas, LLC
NPI 1366061905ActiveOrganization· Family Medicine· Mountain Home, AR
Family Medicine in Mountain Home, Arkansas, registered in NPPES in April 2020, part of Vaxcare Corporation. The authorized official on file is Brett Kenefick, President. Enrolled in Medicare as part b supplier - centralized flu biller.
Overview
| NPI | 1366061905 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vaxcare Corporation |
| NPI issued | Apr 14, 2020 |
| Last updated in NPPES | Oct 23, 2025 |
| Certified by provider | Oct 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Centralized Flu Biller (TX) |
|---|
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