| Barry William Mccraw, MD | |
|
101 Skyline Dr, Russellville, AR 72801-3363 | |
| (479) 968-2345 | |
| (479) 890-7169 |
| Full Name | Barry William Mccraw |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 101 Skyline Dr, Russellville, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831155191 | NPI | - | NPPES |
| 127071001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | E-0383 (Arkansas) | Primary |
| Entity Name | St Marys Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry William Mccraw, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 | Barry William Mccraw, MD 101 Skyline Dr, Russellville, AR 72801-3363 Ph: (479) 968-2345 |
Robin L. Kirby, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 220 N Sidney, Russellville, AR 72801 Phone: 479-498-0858 Fax: 479-498-0809 | |
Kristen Michelle Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 | |
Lynette Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 | |
Mr. Nathan Taylor Reynolds, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2322 | |
Rick Wayne Harrison, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 | |
Dr. Chadwick Jerold Masters, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 | |
Dr. Howard Madison Orsburn Iv, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7169 |