<unavail> in Russellville, AR - Medicare Community/Behavioral Health

is a medicare enrolled mental health clinic (Community/behavioral Health) in Russellville, Arkansas. The current practice location for is 1310 W Main St Ste 201, Russellville, Arkansas. For appointments, you can reach them via phone at (479) 968-2001. The mailing address for is 1310 W Main St Ste 201, Russellville, Arkansas and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568943140. 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 (479) 968-2001.

Contact Information


	1310 W Main St Ste 201 Russellville AR 72801-2803
	(479) 968-2001
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name
Speciality	Community/Behavioral Health
Location	1310 W Main St Ste 201, Russellville, Arkansas
Authorized Official Name and Position	Jim Knight (PRESIDENT/CEO)
Authorized Official Contact	4799682001
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1310 W Main St Ste 201 Russellville AR 72801-2803 Ph: () -	1310 W Main St Ste 201 Russellville AR 72801-2803 Ph: (479) 968-2001

NPI Details:

NPI Number	1568943140
Provider Enumeration Date	08/22/2018
Last Update Date	08/09/2022
Certification Date	08/09/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1153751334
Medicare Enrollment ID	O20200501000640

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568943140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
251S00000X	Community/behavioral Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Toni Clingmon Jennings
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1275728974 PECOS PAC ID: 8729412507 Enrollment ID: I20200103000291

Reviews and Comments

Community/Behavioral Health in Russellville, AR

Inhope Counseling Services Company Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1305 E Main St, Russellville, AR 72801 Phone: 479-393-9866 Fax: 479-358-1464
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Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 83 Arvac Lane, Russellville, AR 72802 Phone: 479-219-5292 Fax: 479-370-0361
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- Medicare Mental Health Clinic in Russellville, AR