| Michael Davis Payne Ii, MD | |
|
2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 | |
| (479) 527-9966 | |
| (479) 527-9677 |
| Full Name | Michael Davis Payne Ii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 2630 E Citizens Dr Ste 3, Fayetteville, 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 |
|---|---|---|---|
| 1255398897 | NPI | - | NPPES |
| 149271001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E3409 (Arkansas) | Primary |
| 207P00000X | Emergency Medicine | E-3409 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| Nevada Regional Medical Center | Nevada, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Francis House Nwa, Inc. | 0042262495 | 59 |
| North Arkansas Regional Medical Center | 5193615896 | 60 |
| Entity Name | Ozark Health, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043305501 PECOS PAC ID: 7315923620 Enrollment ID: O20040628000567 |
| Entity Name | North Arkansas Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801067657 PECOS PAC ID: 5193615896 Enrollment ID: O20080724000204 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Monticello Ess Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184010753 PECOS PAC ID: 4880914639 Enrollment ID: O20150519002625 |
| Entity Name | St. Francis House Nwa, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336986785 PECOS PAC ID: 0042262495 Enrollment ID: O20220527002133 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Davis Payne Ii, MD 2630 E Citizens Dr, Ste 3, Fayetteville, AR 72703-4797 Ph: (870) 352-3151 | Michael Davis Payne Ii, MD 2630 E Citizens Dr Ste 3, Fayetteville, AR 72703-4797 Ph: (479) 527-9966 |
Mr. Eric P B Goodspeed, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-7102 Fax: 479-463-7864 | |
Dustin Hoover, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 767 W North St, Fayetteville, AR 72701 Phone: 479-966-5088 Fax: 479-282-0469 | |
Dr. Larry D Coker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704 Phone: 479-757-5056 Fax: 479-757-5057 | |
Dr. Carol A Fossey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793 | |
Alfred Y Gordon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 688 E Millsap Rd Ste 101, Fayetteville, AR 72703 Phone: 479-443-3536 Fax: 479-443-3933 | |
Stanley Bradley, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 E Longview Street, Fayetteville, AR 72703 Phone: 479-463-7385 Fax: 479-444-7120 | |
Miss Marielie Heidi Agesilas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1125 N College Ave, Fayetteville, AR 72703 Phone: 479-521-8260 |