| Stacy Emmanuel Richardson, DO, EDD | |
|
1507 Linwood Dr Ste A, Paragould, AR 72450-5818 | |
| (870) 239-8105 | |
| (870) 641-2042 |
| Full Name | Stacy Emmanuel Richardson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 18 Years |
| Location | 1507 Linwood Dr Ste A, Paragould, 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 |
|---|---|---|---|
| 1891968293 | NPI | - | NPPES |
| 179973003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | E-6218 (Arkansas) | Primary |
| 207P00000X | Emergency Medicine | E-6218 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Arkansas Methodist Medical Center | Paragould, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sark Opl | 7810261088 | 5 |
| 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 | 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 |
| Entity Name | Sark Opl |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558893776 PECOS PAC ID: 7810261088 Enrollment ID: O20170927000871 |
| Entity Name | Lifelinc Anesthesia V, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063907244 PECOS PAC ID: 8921359712 Enrollment ID: O20180918001267 |
| Entity Name | Richardson Healthcare Partners PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447101977 PECOS PAC ID: 7618442161 Enrollment ID: O20260413000569 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Emmanuel Richardson, DO, EDD 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 Ph: (870) 239-8105 | Stacy Emmanuel Richardson, DO, EDD 1507 Linwood Dr Ste A, Paragould, AR 72450-5818 Ph: (870) 239-8105 |
Frank Schefano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 W Kingshighway, Paragould, AR 72450 Phone: 870-239-7000 |