Stacy Emmanuel Richardson, DO, EDD | |
4802 E Johnson Ave, Jonesboro, AR 72401-8413 | |
(870) 936-8000 | |
(870) 936-2228 |
Full Name | Stacy Emmanuel Richardson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 4802 E Johnson 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 |
---|---|---|---|
1891968293 | NPI | - | NPPES |
179973003 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | E-6218 (Arkansas) | Secondary |
207L00000X | Anesthesiology | E-6218 (Arkansas) | Primary |
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 | Ozark Health, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043305501 PECOS PAC ID: 7315923620 Enrollment ID: O20040628000567 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
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 |
Entity Name | Lifelinc Anesthesia V, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
Mailing Address | Practice Location Address |
---|---|
Stacy Emmanuel Richardson, DO, EDD Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-8000 | Stacy Emmanuel Richardson, DO, EDD 4802 E Johnson Ave, Jonesboro, AR 72401-8413 Ph: (870) 936-8000 |
Jianbin Zheng, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4916 Medical Blvd, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3625 | |
Tarah Burcham, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141 | |
Lacey Perrin Parker, M.D, Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1100 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-8500 | |
Sheila Stinson, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2707 Browns Ln, Jonesboro, AR 72401 Phone: 870-972-4939 Fax: 870-972-4911 | |
Larry Johnson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1100 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141 | |
Fred Huggins, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-932-4211 Fax: 870-931-9141 | |
Dr. David Daniel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4800 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-936-2228 |