Dr Clyde R Redmond Ii, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Springdale, Arkansas. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Mercy Clinic Springfield Communities, Baptist Health Services, West Florida Cardiology Network, Llc and his current practice location is
601 W Maple Ave Ste 403, Springdale, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 757-4840.
Dr Clyde R Redmond Ii is licensed to practice in Missouri (license number 2000156468) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700952462.
Physician's Profile
| Full Name | Dr Clyde R Redmond Ii |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 40 Years |
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| Location | 601 W Maple Ave Ste 403, Springdale, Arkansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Clyde R Redmond Ii graduated from medical school in 1984
NPI Data:
- NPI Number: 1700952462
- Provider Enumeration Date: 11/27/2006
- Last Update Date: 09/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 1355383431
- Enrollment ID: I20050531000216
Medical Identifiers
Medical identifiers for Dr Clyde R Redmond Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700952462 | NPI | - | NPPES |
| 200410930A | Medicaid | OK | |
| P01408842 | Other | MO | RAIL ROAD MEDICARE |
| 201106810A | Medicaid | KS | |
| 204958706 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 0438216 (Kansas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 28924 (Oklahoma) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 2000156468 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Clinic Springfield Communities | 7416865845 | 933 |
| Baptist Health Services | 0648514133 | 135 |
| West Florida Cardiology Network, Llc | 8729260641 | 69 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Clyde R Redmond Ii allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Clinic Springfield Communities |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060 |
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| Entity Name | Saint Francis Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356304489
PECOS PAC ID: 9931007929
Enrollment ID: O20040107000140 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clyde R Redmond Ii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Clyde R Redmond Ii, MD
100 Mercy Way, Suite 310,
Joplin, MO 64804-4524
Ph: (417) 556-8600 | Dr Clyde R Redmond Ii, MD
601 W Maple Ave Ste 403,
Springdale, AR 72764-5374
Ph: (479) 757-4840 |
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