Dr Michael Bradley Mayfield, MD | |
2729 S Highway 65 82, Lake Village, AR 71653-6136 | |
(870) 265-9364 | |
(870) 265-9366 |
Full Name | Dr Michael Bradley Mayfield |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 2729 S Highway 65 82, Lake Village, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306894803 | NPI | - | NPPES |
136648001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C-8286 (Arkansas) | Secondary |
208600000X | Surgery | C-8286 (Arkansas) | Primary |
Entity Name | St Marys Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124084991 PECOS PAC ID: 4981698032 Enrollment ID: O20040609000759 |
Entity Name | Chicot Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235453192 PECOS PAC ID: 2466576194 Enrollment ID: O20100901000344 |
Entity Name | Chicot Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902121494 PECOS PAC ID: 2466576194 Enrollment ID: O20101006000166 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Bradley Mayfield, MD 2729 S Highway 65 82, Lake Village, AR 71653-6136 Ph: (870) 265-9364 | Dr Michael Bradley Mayfield, MD 2729 S Highway 65 82, Lake Village, AR 71653-6136 Ph: (870) 265-9364 |
Dr. John P. Burge, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2918 Louis Sessions Street, Lake Village, AR 71653 Phone: 870-265-5343 Fax: 870-265-5686 |