Dr Virgil R Massey Jr, MD | |
1808 W Main St, Russellville, AR 72801-2724 | |
(479) 968-2841 | |
Not Available |
Full Name | Dr Virgil R Massey Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 35 Years |
Location | 1808 W Main St, Russellville, 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 |
---|---|---|---|
1730180753 | NPI | - | NPPES |
770078001 | Other | AR | AR BREASTCARE |
5J132 | Other | AR | BLUE CROSS BLUE SHIELD AR |
050030511 | Other | RR MEDICARE GROUP CC5970 | |
123440001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | C8375 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Regional Medical Center | Russellville, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Mary's Specialty, Llc | 5496189318 | 8 |
Entity Name | St Mary's Specialty, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831730670 PECOS PAC ID: 5496189318 Enrollment ID: O20200102000443 |
Mailing Address | Practice Location Address |
---|---|
Dr Virgil R Massey Jr, MD Po Box 1351, Russellville, AR 72811-1351 Ph: (800) 235-1415 | Dr Virgil R Massey Jr, MD 1808 W Main St, Russellville, AR 72801-2724 Ph: (479) 968-2841 |
Dr. Ahmad Nadeem Rafi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1660 W C Pl, Russellville, AR 72801 Phone: 479-967-7770 Fax: 479-967-7772 | |
Dr. Stanley E. Gately, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 | |
Dr. Thomas C. Williams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 |