| Michael Shane Lyerly, MD | |
|
8170 Us Highway 49n, Brookland, AR 72417 | |
| (870) 936-8000 | |
| (870) 932-1293 |
| Full Name | Michael Shane Lyerly |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 8170 Us Highway 49n, Brookland, 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 |
|---|---|---|---|
| 1851682694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E-7942 (Arkansas) | Secondary |
| 208M00000X | Hospitalist | E-7942 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | E-7942 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 272 |
| University Of Arkansas For Medical Sciences | 4082528955 | 1146 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982684825 PECOS PAC ID: 4082528955 Enrollment ID: O20040901000937 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
| 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 |
|---|---|
| Michael Shane Lyerly, MD Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-8000 | Michael Shane Lyerly, MD 8170 Us Highway 49n, Brookland, AR 72417 Ph: (870) 936-8000 |
Sandra Carole Stubblefield, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Us Highway 49n, Brookland, AR 72417 Phone: 870-936-8000 Fax: 870-932-1293 | |
William Scott Stubblefield, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 West Smith, Brookland, AR 72417 Phone: 870-932-1211 Fax: 870-932-5849 | |
Meghan Lindsay Lyerly, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8170 Us Highway 49n, Brookland, AR 72417 Phone: 870-936-8000 Fax: 870-932-1293 |