Mrs Keri Danielle Victory-mcdaniel, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Jonesboro, Arkansas. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Region Seven Mental Health Intellectual Disabilities Comm and her current practice location is
1815 Pleasant Grove Rd, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 933-6886.
Mrs Keri Danielle Victory-mcdaniel is licensed to practice in Arkansas (license number 223953) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376191502.
Physician's Profile
| Full Name | Mrs Keri Danielle Victory-mcdaniel |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 1815 Pleasant Grove Rd, Jonesboro, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Keri Danielle Victory-mcdaniel graduated from medical school in 2019
NPI Data:
- NPI Number: 1376191502
- Provider Enumeration Date: 08/30/2019
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628300795
- Enrollment ID: I20191023002276
Medical Identifiers
Medical identifiers for Mrs Keri Danielle Victory-mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376191502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 888661 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 223953 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Region Seven Mental Health Intellectual Disabilities Comm | 3072531953 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Keri Danielle Victory-mcdaniel allows following entities to bill medicare on her behalf.
| Entity Name | Region Seven Mental Health Intellectual Disabilities Comm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700894730
PECOS PAC ID: 3072531953
Enrollment ID: O20051109000565 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keri Danielle Victory-mcdaniel is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Keri Danielle Victory-mcdaniel, PMHNP-BC
1815 Pleasant Grove Rd,
Jonesboro, AR 72405-7870
Ph: (870) 933-6886 | Mrs Keri Danielle Victory-mcdaniel, PMHNP-BC
1815 Pleasant Grove Rd,
Jonesboro, AR 72405-7870
Ph: (870) 933-6886 |
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