Dr Randall Dean Staley Jr, MD | |
4700 S Thompson St Ste C103, Springdale, AR 72764 | |
(479) 571-6363 | |
(479) 684-3941 |
Full Name | Dr Randall Dean Staley Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 19 Years |
Location | 4700 S Thompson St Ste C103, Springdale, 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 |
---|---|---|---|
1295918449 | NPI | - | NPPES |
E6379 | Other | AR | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | E-6379 (Arkansas) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | E-6379 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Associates Of Northwest Arkansas, Pa | 3678542073 | 95 |
Entity Name | Medical Associates Of Northwest Arkansas, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671 |
Mailing Address | Practice Location Address |
---|---|
Dr Randall Dean Staley Jr, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038 | Dr Randall Dean Staley Jr, MD 4700 S Thompson St Ste C103, Springdale, AR 72764 Ph: (479) 571-6363 |
Dr. Jon Rubenow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 403, Springdale, AR 72764 Phone: 479-750-2742 Fax: 479-750-2781 | |
Michael G Hollomon, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 601 W Maple, Suite 403, Springdale, AR 72764 Phone: 479-750-2742 Fax: 479-750-2742 | |
Jarrod R. Adkisson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2400 S. 48th, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-750-8967 | |
Travis Jenkins, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2400 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-750-4843 | |
Donald Clay, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 614e Emma Ave 300, Springdale, AR 72764 Phone: 479-751-7417 Fax: 479-751-4898 | |
Edwin Carroll Jones, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2400 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-751-4346 |