| Willard C Arnold, DO | |
|
625 James S Trimble Blvd, Paintsville, KY 41240-1055 | |
| (606) 789-3511 | |
| (606) 789-1432 |
| Full Name | Willard C Arnold |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 625 James S Trimble Blvd, Paintsville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134108855 | NPI | - | NPPES |
| 0333071 | Medicaid | OH | |
| 5600426-000 | Medicaid | WV | |
| 000000205500 | Other | KY | BLUECROSS BLUESHIELD |
| 64021165 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02116 (Kentucky) | Primary |
| 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: O20050302000285 |
| Entity Name | Combs Mountain Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629603527 PECOS PAC ID: 9335579515 Enrollment ID: O20200501000614 |
| Mailing Address | Practice Location Address |
|---|---|
| Willard C Arnold, DO Po Box 409013, Atlanta, GA 30384-9013 Ph: (800) 377-8721 | Willard C Arnold, DO 625 James S Trimble Blvd, Paintsville, KY 41240-1055 Ph: (606) 789-3511 |
Thomas B. Styer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 James S. Trimble Blvd., Paintsville, KY 41240 Phone: 606-789-3511 Fax: 606-789-1432 | |
Gary A. Lowther, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 James S. Trimble Blvd., Paintsville, KY 41240 Phone: 606-789-3511 Fax: 606-789-1432 | |
Hassan Helwani, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 625 James S Trimble Blvd, Paintsville, KY 41240 Phone: 606-789-3511 Fax: 606-789-1432 | |
Lisa C Cain, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 James S Trimble Blvd, Paintsville, KY 41240 Phone: 606-789-3511 |