| Michael Raborn, MD | |
|
311 E Matthews Ave, Jonesboro, AR 72401-3125 | |
| (870) 935-4150 | |
| (870) 934-5264 |
| Full Name | Michael Raborn |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 311 E Matthews Ave, Jonesboro, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225095094 | NPI | - | NPPES |
| 111565001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | R-3452 (Arkansas) | Primary |
| Entity Name | Michael Raborn Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275805749 PECOS PAC ID: 8426215849 Enrollment ID: O20120213000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Raborn, MD 311 E Matthews Ave, Jonesboro, AR 72401-3125 Ph: (870) 935-4150 | Michael Raborn, MD 311 E Matthews Ave, Jonesboro, AR 72401-3125 Ph: (870) 935-4150 |
Ronald D Smith Jr., M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72405 Phone: 870-936-8000 Fax: 870-934-3628 | |
Paul S Levy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 4802 E Johnson Ave, Jonesboro, AR 72401 Phone: 870-936-8000 Fax: 870-934-3628 | |
Jay K Bhama, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 201 E Oak Ave, Jonesboro, AR 72401 Phone: 870-935-6729 |