St Marys Physician Services, Llc
Durable Medical Equipment & Medical Supplies
101 Skyline Dr, Russellville
Arkansas, 72801-3363
479-968-2345 479-890-2497
St Marys Physician Services, Llc is a Durable Medical Equipment & Medical Supplies in Russellville, Arkansas. It is located at 101 Skyline Dr, Russellville and it's customer support contact number is 479-968-2345. The authorized person of St Marys Physician Services, Llc is Charlotte Lawrence who is Secretary of this DME and his contact number is 615-920-7000. St Marys Physician Services, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
St Marys Physician Services, Llc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
St Marys Physician Services, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | St Marys Physician Services, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 101 Skyline Dr, Russellville,
Arkansas, 72801-3363 |
| Phone: | 479-968-2345 |
| Fax: | 479-890-2497 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Charlotte Lawrence |
| Position: | Secretary |
| Contact Number: | 615-920-7000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1063626117 |
| NPI Enumeration Date: | 09 May, 2007 |
| NPI Last Update On: | 26 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Marys Physician Services, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 152955002 | Medicaid | Arkansas | |
Medicare Enrollment:
St Marys Physician Services, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4981698032 | O20100930085447 | St Marys Physician Services Llc | DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 101 Skyline Dr,
Russellville, Arkansas |
| Zip: | 72801-3363 |
| Phone Number: | 479-968-2345 |
| Fax Number: | 479-890-2497 |
Patients can reach St Marys Physician Services, Llc at
101 Skyline Dr, Russellville, Arkansas or can
call on customer care at 479-968-2345.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.