| Dr Shane R Smith, MD | |
|
621 E Matthews Ave, Jonesboro, AR 72401-3145 | |
| (870) 932-6799 | |
| (870) 932-8423 |
| Full Name | Dr Shane R Smith |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 28 Years |
| Location | 621 E Matthews 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 |
|---|---|---|---|
| 1538134572 | NPI | - | NPPES |
| 146939001 | Medicaid | AR | |
| P00062106 | Other | AR | RAILROAD MEDICARE |
| 5M220 | Other | AR | BCBS OF AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | E3427 (Arkansas) | Primary |
| 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 | Ne Arkansas Otolaryngology Facial Surgery P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659340297 PECOS PAC ID: 7012085863 Enrollment ID: O20090323000498 |
| 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 Shane R Smith, MD 621 E Matthews Ave, Jonesboro, AR 72401-3145 Ph: (870) 932-6799 | Dr Shane R Smith, MD 621 E Matthews Ave, Jonesboro, AR 72401-3145 Ph: (870) 932-6799 |
Bryan K Lansford, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3637 | |
Gary W Woodward, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 621 E Matthews, Jonesboro, AR 72401 Phone: 870-932-6799 Fax: 870-932-8423 | |
Dr. David Lewis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 621 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-932-6799 Fax: 870-932-8423 | |
Dr. Joseph H Sales, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 621 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-932-6799 Fax: 870-932-8423 | |
Dr. John B Jiu, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 621 E Matthews Ave, Jonesboro, AR 72401 Phone: 870-932-6799 Fax: 870-932-8423 |