Dr Randall Dean Staley Jr, MD in Springdale, AR

Dr Randall Dean Staley Jr, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Springdale, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Medical Associates Of Northwest Arkansas, Pa and his current practice location is 4700 S Thompson St Ste C103, Springdale, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 571-6363.

Dr Randall Dean Staley Jr is licensed to practice in Arkansas (license number E-6379) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295918449.

Contact Information

	Dr Randall Dean Staley Jr, MD
	4700 S Thompson St Ste C103, Springdale, AR 72764
	(479) 571-6363
	(479) 684-3941

Map and Direction

Physician's Profile

Full Name	Dr Randall Dean Staley Jr
Gender	Male
Speciality	Psychiatry
Experience	19 Years
Location	4700 S Thompson St Ste C103, Springdale, 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.

Medical Education and Training:

Dr Randall Dean Staley Jr attended and graduated from University Of Arkansas College Of Medicine in 2005

NPI Data:

NPI Number: 1295918449
Provider Enumeration Date: 12/11/2007
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5193982908
Enrollment ID: I20120207000316

Medical Identifiers

Medical identifiers for Dr Randall Dean Staley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295918449	NPI	-	NPPES
E6379	Other	AR	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	E-6379 (Arkansas)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	E-6379 (Arkansas)	Primary
208000000X	Pediatrics	E-6379 (Arkansas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Associates Of Northwest Arkansas, Pa	3678542073	98

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Randall Dean Staley Jr allows following entities to bill medicare on his behalf.

Entity Name	Medical Associates Of Northwest Arkansas, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801847827 PECOS PAC ID: 3678542073 Enrollment ID: O20041001000671

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall Dean Staley Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Randall Dean Staley Jr, MD Po Box 1523, Fayetteville, AR 72702-1523 Ph: (479) 571-6038	Dr Randall Dean Staley Jr, MD 4700 S Thompson St Ste C103, Springdale, AR 72764 Ph: (479) 571-6363

Reviews and Comments

Psychiatry & Neurology Doctors in Springdale, AR

Dr. Jon Rubenow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 W Maple Ave Ste 403, Springdale, AR 72764 Phone: 479-750-2742 Fax: 479-750-2781
Michael G Hollomon, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 601 W Maple, Suite 403, Springdale, AR 72764 Phone: 479-750-2742 Fax: 479-750-2742
Jarrod R. Adkisson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2400 S. 48th, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-750-8967
Travis Jenkins, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2400 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-750-4843
Donald Clay, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 614e Emma Ave 300, Springdale, AR 72764 Phone: 479-751-7417 Fax: 479-751-4898
Theresa Sue Farrow, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2400 S 48th St, Springdale, AR 72762 Phone: 479-750-2020 Fax: 479-751-4346

Dr Randall Dean Staley Jr, MD - Medicare Psychiatry in Springdale, AR