Dr Michael Bradley Mayfield, MD is a medicare enrolled "Surgery" physician in Lake Village, Arkansas. His current practice location is
2729 S Highway 65 82, Lake Village, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 265-9364.
Dr Michael Bradley Mayfield is licensed to practice in Arkansas (license number C-8286) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306894803.
Physician's Profile
Full Name | Dr Michael Bradley Mayfield |
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Gender | Male |
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Speciality | Surgery |
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Location | 2729 S Highway 65 82, Lake Village, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306894803
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 3577623073
- Enrollment ID: I20081113000336
Medical Identifiers
Medical identifiers for Dr Michael Bradley Mayfield such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306894803 | NPI | - | NPPES |
136648001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | C-8286 (Arkansas) | Secondary |
208600000X | Surgery | C-8286 (Arkansas) | Primary |
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 Michael Bradley Mayfield allows following entities to bill medicare on his behalf.
Entity Name | St Marys Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
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Entity Name | Chicot Memorial Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235453192 PECOS PAC ID: 2466576194 Enrollment ID: O20100901000344 |
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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 Michael Bradley Mayfield 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 |
Dr Michael Bradley Mayfield, MD 2729 S Highway 65 82, Lake Village, AR 71653-6136 Ph: (870) 265-9364 | Dr Michael Bradley Mayfield, MD 2729 S Highway 65 82, Lake Village, AR 71653-6136 Ph: (870) 265-9364 |
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