Andrew Mirocke, MD | |
225 E Jackson Ave, Jonesboro, AR 72401-3119 | |
(870) 207-4100 | |
Not Available |
Full Name | Andrew Mirocke |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 7 Years |
Location | 225 E Jackson Ave, Jonesboro, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174017958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 58430 (Kentucky) | Secondary |
207P00000X | Emergency Medicine | 4301115689 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Madisonville | Madisonville, KY | Hospital |
Baptist Health Paducah | Paducah, KY | Hospital |
St Marys Regional Medical Center | Russellville, AR | Hospital |
Tj Health Columbia | Columbia, KY | Hospital |
T J Samson Community Hospital | Glasgow, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Bernards Hospital Inc. | 0941105480 | 150 |
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Southeastern Emergency Physicians Llc | 2466364997 | 516 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
Entity Name | St Bernards Hospital Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396053096 PECOS PAC ID: 0941105480 Enrollment ID: O20101123000105 |
Mailing Address | Practice Location Address |
---|---|
Andrew Mirocke, MD 225 E Jackson Ave, Jonesboro, AR 72401-3119 Ph: (870) 207-4100 | Andrew Mirocke, MD 225 E Jackson Ave, Jonesboro, AR 72401-3119 Ph: (870) 207-4100 |
Mark M Smith, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-4145 | |
William C Mcbryde, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-4145 | |
Alfred Nesaraj, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 | |
Danny Eugene Grubbs, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3202 Methodist Dr, Jonesboro, AR 72401 Phone: 870-932-2221 Fax: 870-931-3229 | |
Jeremy Jeffrey Cohen, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 225 E Washington Ave, Jonesboro, AR 72401 Phone: 870-974-3188 | |
Alexander W Dunlap, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-972-4145 |