| Dr Daniel Richard Stevenson, MD | |
|
201 E Oak Ave., Jonesboro, AR 72401 | |
| (870) 935-6729 | |
| (870) 268-4408 |
| Full Name | Dr Daniel Richard Stevenson |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 44 Years |
| Location | 201 E Oak 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 |
|---|---|---|---|
| 1558366443 | NPI | - | NPPES |
| C5099 | Other | AR | STATE LICENSE |
| 114142001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | C5099 (Arkansas) | Primary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | C-5099 (Arkansas) | Secondary |
| 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 | 272 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Richard Stevenson, MD 201 E Oak Ave., Jonesboro, AR 72401 Ph: (870) 935-6729 | Dr Daniel Richard Stevenson, MD 201 E Oak Ave., Jonesboro, AR 72401 Ph: (870) 935-6729 |
Mr. Syed Safder Abbas Hasan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 S Main St, Jonesboro, AR 72401 Phone: 870-932-7024 | |
Dr. Jennifer M Dicocco, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 | |
Mr. Joseph Wesley Hurston Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-936-3629 | |
Alice M Cherqui, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 S Church St Ste 201, Jonesboro, AR 72401 Phone: 870-934-1462 Fax: 870-934-1456 | |
Shravan Reddy Chintalapani, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3629 | |
Mr. David L. Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4802e Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3629 | |
Dr. Jonathan Louis Altomar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1005 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-935-1242 Fax: 870-932-6809 |