Amy Deatherage, in Paragould, AR - Medicare Nurse Practitioner

Amy Deatherage, is a medicare enrolled "Nurse Practitioner - Family" in Paragould, Arkansas. Her current practice location is 1 Medical Dr Ste 100, Paragould, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 932-0399.

Amy Deatherage is licensed to practice in Arkansas (license number 2014012328) 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 1720489032.

Contact Information

	Amy Deatherage,
	1 Medical Dr Ste 100, Paragould, AR 72450-4005
	(870) 932-0399
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Deatherage
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1 Medical Dr Ste 100, Paragould, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720489032
Provider Enumeration Date: 09/06/2014
Last Update Date: 09/13/2018

Medicare PECOS Information:

PECOS PAC ID: 4486970225
Enrollment ID: I20150313000485

Medical Identifiers

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

Identifier	Type	State	Issuer
1720489032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2014012328 (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 Deatherage allows following entities to bill medicare on her behalf.

Entity Name	Pain & Interventional Radiology Specialists, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144674409 PECOS PAC ID: 4789962036 Enrollment ID: O20161021000130

Entity Name	Nwa Md Consulting Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679180624 PECOS PAC ID: 4385064096 Enrollment ID: O20201019003047

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 Deatherage 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 Deatherage, 1 Medical Dr Ste 100, Paragould, AR 72450-4005 Ph: (870) 932-0399	Amy Deatherage, 1 Medical Dr Ste 100, Paragould, AR 72450-4005 Ph: (870) 932-0399

Reviews and Comments

Nurse Practitioner Nurses in Paragould, AR

Susan A Harris, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 Goldsmith Rd, Paragould, AR 72450 Phone: 870-236-7782 Fax: 870-236-9610
Allison Smith, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 W Kingshighway, Paragould, AR 72450 Phone: 870-239-7000
Lauren Elizabeth Cude, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 Greene 7242 Rd, Paragould, AR 72450 Phone: 870-333-5488 Fax: 870-333-5442
Garrett Thomas Wray, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 W Kingshighway, Paragould, AR 72450 Phone: 870-936-8000 Fax: 870-240-8833
Cecil Preston Massey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3501 Carriage Hill Dr Ste B, Paragould, AR 72450 Phone: 870-573-2200 Fax: 870-236-4009
Cathy Louise Young, DNSC, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 W Kingshighway, Suite #4, Paragould, AR 72450 Phone: 870-239-3600
Amy M Wynn, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2420 Linwood Drive Suite 3, Paragould, AR 72450 Phone: 870-236-9756 Fax: 870-236-9356

Amy Deatherage, - Medicare Nurse Practitioner in Paragould, AR