Dr Michael Shane Whitlock, MD | |
624 Hospital Dr. Rad. Dept., Mountain Home, AR 72653-2955 | |
(870) 425-6322 | |
(870) 424-5859 |
Full Name | Dr Michael Shane Whitlock |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 624 Hospital Dr. Rad. Dept., Mountain Home, 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 |
---|---|---|---|
1548295421 | NPI | - | NPPES |
165369001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | E3746 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baxter Regional Medical Center | Mountain home, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mountain Home Radiology Consultants | 5890896120 | 6 |
Entity Name | Arkansas Specialty Radiology Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598843989 PECOS PAC ID: 8325047236 Enrollment ID: O20061204000116 |
Entity Name | Mountain Home Radiology Consultants |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467418970 PECOS PAC ID: 5890896120 Enrollment ID: O20070919000767 |
Entity Name | Resort Radiology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144853821 PECOS PAC ID: 0042648420 Enrollment ID: O20200318000939 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Shane Whitlock, MD Po Box 2008, Mountain Home, AR 72654-2008 Ph: (870) 425-6322 | Dr Michael Shane Whitlock, MD 624 Hospital Dr. Rad. Dept., Mountain Home, AR 72653-2955 Ph: (870) 425-6322 |
Timothy Clay Brown, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Radiology Dept., Mountain Home, AR 72653 Phone: 870-425-6322 Fax: 870-424-5859 | |
Mr. Gary B Wells, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 624 Hospital Drive, Mountain Home, AR 72653 Phone: 870-424-2200 Fax: 870-424-6616 | |
William Lynn Landrum, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-425-6322 Fax: 870-424-5859 | |
Matthew Baker Wilson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-425-6322 Fax: 870-424-5859 | |
Mr. Gregory D Naden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 639 Hospital Dr, Mountain Home, AR 72653 Phone: 479-587-1700 Fax: 479-587-1366 | |
Matthew Kyle Mcalister, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-425-6322 Fax: 870-424-5859 |