- Medicare Mental Health Clinic in Eudora, AR

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is a medicare enrolled mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Eudora, Arkansas. The current practice location for is 579 E Beouff St, Eudora, Arkansas. For appointments, you can reach them via phone at (870) 355-2512. The mailing address for is Po Box 509, Dermott, Arkansas and phone number is (870) 942-3000.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619082724. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (870) 355-2512.

Contact Information

579 E Beouff St
Eudora
AR 71640-3090
(870) 355-2512
(870) 355-2520

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityClinic/Center
Location579 E Beouff St, Eudora, Arkansas
Authorized Official Name and PositionGary Allan Nichols (CEO)
Authorized Official Contact8709423000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 509
Dermott
AR 71638-0509

Ph: (870) 942-3000
579 E Beouff St
Eudora
AR 71640-3090

Ph: (870) 355-2512

NPI Details:

NPI Number1619082724
Provider Enumeration Date08/20/2006
Last Update Date09/18/2024
Certification Date09/18/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5193785590
Medicare Enrollment IDO20110503000329

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619082724NPI-NPPES
122646749MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments

Clinic/Center in Eudora, AR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.