Gerald S Stipanuk, MD | |
1520 N Division St, Blytheville, AR 72315-1448 | |
(731) 235-0555 | |
(731) 235-0559 |
Full Name | Gerald S Stipanuk |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 47 Years |
Location | 1520 N Division St, Blytheville, 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 |
---|---|---|---|
1669459905 | NPI | - | NPPES |
0000006613645 | Other | KY | BCBS KY |
4217156 | Other | TN | BCBS TN |
1511734 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | E-7145 (Arkansas) | Secondary |
207R00000X | Internal Medicine | E-7145 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Bernards Medical Center | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Rehab Group Llp | 9133429152 | 3 |
Entity Name | Mississippi County Hospital System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164720868 PECOS PAC ID: 9739230723 Enrollment ID: O20110819000139 |
Entity Name | Medical Rehab Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669856704 PECOS PAC ID: 9133429152 Enrollment ID: O20151124000846 |
Mailing Address | Practice Location Address |
---|---|
Gerald S Stipanuk, MD 801 S Meridian St, Greenfield, TN 38230-2104 Ph: (731) 235-0555 | Gerald S Stipanuk, MD 1520 N Division St, Blytheville, AR 72315-1448 Ph: (731) 235-0555 |
Dr. Richard Lee Hester, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1521 N 10th St, Ste C, Blytheville, AR 72315 Phone: 870-762-5360 Fax: 870-762-2095 | |
Shalender Mittal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 519 N 6th St, Blytheville, AR 72315 Phone: 870-762-5800 Fax: 870-762-5801 |