| Michael Todd Stafford, MD | |
|
3560 Delaware St, Suite 601-a, Beaumont, TX 77706-3067 | |
| (800) 258-2016 | |
| (409) 924-9696 |
| Full Name | Michael Todd Stafford |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3560 Delaware St, Beaumont, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285784298 | NPI | - | NPPES |
| 0815925 | Other | TX | CIGNA |
| 1380487-06 | Medicaid | TX | |
| 81680B | Other | TX | BLUE CROSS BLUE SHIELD |
| 5994380 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | F7193 (Texas) | Primary |
| Entity Name | Jackson County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215971478 PECOS PAC ID: 2365423795 Enrollment ID: O20040601000224 |
| Entity Name | Port Arthur Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255491627 PECOS PAC ID: 6901905736 Enrollment ID: O20070620000245 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Todd Stafford, MD 1515 Country Squire Drive, Richmond, TX 77406-6642 Ph: (281) 341-7676 | Michael Todd Stafford, MD 3560 Delaware St, Suite 601-a, Beaumont, TX 77706-3067 Ph: (800) 258-2016 |
Michael Nancy Amsden, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3560 Delaware St, Suite 601-a, Beaumont, TX 77706 Phone: 800-258-2016 Fax: 409-924-9696 | |
Dr. William Miles Linklater Iii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-892-7171 | |
James Bradley Gustaf Barton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 800-893-9698 | |
Dr. Ali Osman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3080 College St, Beaumont, TX 77701 Phone: 409-212-6600 | |
Dr. Darla Sue Nunn, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3340 Shady Hollow Ln, Beaumont, TX 77706 Phone: 409-892-4042 Fax: 409-898-2300 | |
Robby M. Eaves Jr., D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2830 Calder St, Beaumont, TX 77702 Phone: 409-899-7000 Fax: 409-924-9696 |