Amy Christina Dallas, APN in Dardanelle, AR - Medicare Nurse Practitioner

Amy Christina Dallas, APN is a medicare enrolled "Nurse Practitioner - Family" in Dardanelle, Arkansas. Her current practice location is 200 N 3rd St, Dardanelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 229-6191.

Amy Christina Dallas is licensed to practice in Arkansas (license number A005401) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821564204.

Contact Information

	Amy Christina Dallas, APN
	200 N 3rd St, Dardanelle, AR 72834-3802
	(479) 229-6191
	(479) 229-6194

Map and Direction

Provider's Profile

Full Name	Amy Christina Dallas
Gender	Female
Speciality	Nurse Practitioner - Family
Location	200 N 3rd St, Dardanelle, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821564204
Provider Enumeration Date: 10/23/2018
Last Update Date: 12/21/2021

Medicare PECOS Information:

PECOS PAC ID: 2062766488
Enrollment ID: I20181120003201

Medical Identifiers

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

Identifier	Type	State	Issuer
1821564204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A005401 (Arkansas)	Primary

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. Amy Christina Dallas allows following entities to bill medicare on her behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365

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. Amy Christina Dallas 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
Amy Christina Dallas, APN Po Box 251420, Little Rock, AR 72225-1420 Ph: (501) 686-8000	Amy Christina Dallas, APN 200 N 3rd St, Dardanelle, AR 72834-3802 Ph: (479) 229-6191

Reviews and Comments

Nurse Practitioner Nurses in Dardanelle, AR

Ashley Dawn Shrives, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W, Suite B, Dardanelle, AR 72834 Phone: 870-605-0014 Fax: 870-994-7488
Keely Hatfield, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3085
Joe Hebert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194
Maranda J Moore, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10812 Rob Hill Rd, Dardanelle, AR 72834 Phone: 479-453-6216
Kayla Manatt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-229-8000 Fax: 479-477-3925
Katerina Lynn Devore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194
Gretchen Keyse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 N 4th St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-5749

Amy Christina Dallas, APN - Medicare Nurse Practitioner in Dardanelle, AR