| Michelle Godfrey, DO | |
|
624 Hospital Dr, Mountain Home, AR 72653-2955 | |
| (870) 424-1000 | |
| Not Available |
| Full Name | Michelle Godfrey |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 624 Hospital Dr, Mountain Home, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821050683 | NPI | - | NPPES |
| 145191003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | E2846 (Arkansas) | Primary |
| Entity Name | Baxter Emergency Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245560424 PECOS PAC ID: 7810023108 Enrollment ID: O20100325000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Godfrey, DO Po Box 1449, Mountain Home, AR 72654-1449 Ph: (870) 424-3181 | Michelle Godfrey, DO 624 Hospital Dr, Mountain Home, AR 72653-2955 Ph: (870) 424-1000 |
Billy Gene Bisswanger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 |
James M Mcdaniel Iii, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-7070 |
Dr. David A Stills, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 |
Philip K Sadler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-7070 |
Melissa N Quevillon, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-424-3181 Fax: 870-424-3089 |
Rebecca Dimanche, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 |
Spencer Charles Wright, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 Hospital Dr, Mountain Home, AR 72653 Phone: 870-508-1000 Fax: 870-424-3089 |