| Dr Virgil R Massey Jr, MD | |
|
1808 W Main St, Russellville, AR 72801-2724 | |
| (479) 968-2841 | |
| Not Available |
| Full Name | Dr Virgil R Massey Jr |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 1808 W Main St, Russellville, 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 |
|---|---|---|---|
| 1730180753 | NPI | - | NPPES |
| 770078001 | Other | AR | AR BREASTCARE |
| 5J132 | Other | AR | BLUE CROSS BLUE SHIELD AR |
| 050030511 | Other | RR MEDICARE GROUP CC5970 | |
| 123440001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | C8375 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Marys Regional Medical Center | Russellville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Mary's Specialty Llc | 5496189318 | 8 |
| Entity Name | St Mary's Specialty, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831730670 PECOS PAC ID: 5496189318 Enrollment ID: O20200102000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Virgil R Massey Jr, MD Po Box 1351, Russellville, AR 72811-1351 Ph: (800) 235-1415 | Dr Virgil R Massey Jr, MD 1808 W Main St, Russellville, AR 72801-2724 Ph: (479) 968-2841 |
Dr. Ahmad Nadeem Rafi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1660 W C Pl, Russellville, AR 72801 Phone: 479-967-7770 Fax: 479-967-7772 | |
Dr. Stanley E. Gately, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 | |
Dr. Thomas C. Williams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841 |