Brandy Lee Vines, - Medicare Nurse Practitioner in Pea Ridge, AR

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Brandy Lee Vines, is a medicare enrolled "Nurse Practitioner - Family" in Pea Ridge, Arkansas. Her current practice location is 2103 Slack St, Pea Ridge, Arkansas. You can reach out to her office (for appointments etc.) via phone at (765) 479-1980.

Brandy Lee Vines is licensed to practice in Arkansas (license number 227730) 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 1306602701.

Contact Information

Brandy Lee Vines,
2103 Slack St,
Pea Ridge, AR 72751-4005
(765) 479-1980
Not Available

Map and Direction




Provider's Profile

Full NameBrandy Lee Vines
GenderFemale
SpecialityNurse Practitioner - Family
Location2103 Slack St, Pea Ridge, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306602701
  • Provider Enumeration Date: 02/23/2024
  • Last Update Date: 02/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193161974
  • Enrollment ID: I20240314004305

Medical Identifiers

Medical identifiers for Brandy Lee Vines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306602701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 227730 (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. Brandy Lee Vines allows following entities to bill medicare on her behalf.
Entity NameUrgent Team Of Arkansas Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992041370
PECOS PAC ID: 1850539198
Enrollment ID: O20130529000209
Entity NamePea Ridge Urgent Care Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558140749
PECOS PAC ID: 1456796986
Enrollment ID: O20240223003115

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. Brandy Lee Vines 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 AddressPractice Location Address
Brandy Lee Vines,
2103 Slack St,
Pea Ridge, AR 72751-4005

Ph: (479) 756-1980		Brandy Lee Vines,
2103 Slack St,
Pea Ridge, AR 72751-4005

Ph: (765) 479-1980

Reviews and Comments


Nurse Practitioner Nurses in Pea Ridge, AR

Mrs. Cyrece Dawn Engelberger, APRN, IBCLC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 200 Carr St, Pea Ridge, AR 72751
Phone: 479-488-6415    
Alyssa Mccrary,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2103 Slack St, Pea Ridge, AR 72751
Phone: 479-765-1980    

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.