Dr Daniel Richard Stevenson, MD | |
201 E Oak Ave., Jonesboro, AR 72401 | |
(870) 935-6729 | |
(870) 268-4408 |
Full Name | Dr Daniel Richard Stevenson |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 42 Years |
Location | 201 E Oak 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 |
---|---|---|---|
1558366443 | NPI | - | NPPES |
C5099 | Other | AR | STATE LICENSE |
114142001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | C5099 (Arkansas) | Primary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C-5099 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 247 |
Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Richard Stevenson, MD 201 E Oak Ave., Jonesboro, AR 72401 Ph: (870) 935-6729 | Dr Daniel Richard Stevenson, MD 201 E Oak Ave., Jonesboro, AR 72401 Ph: (870) 935-6729 |
Dr. Jennifer M Dicocco, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 | |
Mr. Joseph Wesley Hurston Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-936-3629 | |
Alice M Cherqui, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Church St Ste 201, Jonesboro, AR 72401 Phone: 870-934-1462 Fax: 870-934-1456 | |
Shravan Reddy Chintalapani, MD Surgery Medicare: Medicare Enrolled Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3629 | |
Mr. David L. Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802e Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3629 | |
Dr. Jonathan Louis Altomar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 Fax: 870-932-6809 | |
Mr. John Clyde Cook, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews, Jonesboro, AR 72401 Phone: 870-935-1242 Fax: 870-336-1355 |