Cassidy Jo Gavin, APRN in Monticello, AR - Medicare Nurse Practitioner

Cassidy Jo Gavin, APRN is a medicare enrolled "Nurse Practitioner - Family" in Monticello, Arkansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mainline Health Systems, Inc and her current practice location is 535 Jordan Dr, Monticello, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 367-6246.

Cassidy Jo Gavin is licensed to practice in Arkansas (license number 122551) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144989500.

Contact Information

	Cassidy Jo Gavin, APRN
	535 Jordan Dr, Monticello, AR 71655-5714
	(870) 367-6246
	(855) 926-7383

Map and Direction

Provider's Profile

Full Name	Cassidy Jo Gavin
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	535 Jordan Dr, Monticello, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Cassidy Jo Gavin graduated from nursing school in 2019

NPI Data:

NPI Number: 1144989500
Provider Enumeration Date: 12/14/2021
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 3577944206
Enrollment ID: I20220713000426

Medical Identifiers

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

Identifier	Type	State	Issuer
1144989500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	122551 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mainline Health Systems, Inc	5193785590	47

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. Cassidy Jo Gavin allows following entities to bill medicare on her behalf.

Entity Name	Mainline Health Systems, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567

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. Cassidy Jo Gavin 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
Cassidy Jo Gavin, APRN Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414	Cassidy Jo Gavin, APRN 535 Jordan Dr, Monticello, AR 71655-5714 Ph: (870) 367-6246

Reviews and Comments

Nurse Practitioner Nurses in Monticello, AR

Leah Olivia Ross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 940 Old Warren Road, Monticello, AR 71655 Phone: 870-377-3050
April Brandy Glasscock, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 766 Hl Ross Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383
William Joshua Hunter, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 766 H L Ross Dr, Monticello, AR 71655 Phone: 870-412-4302 Fax: 870-412-4178
Jenny Alexis Blagg, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Jordan Dr, Monticello, AR 71655 Phone: 870-460-9001 Fax: 870-412-4575
Mrs. Leia Dawn O'fallon, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383
Hannah A Hilton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383

Cassidy Jo Gavin, APRN - Medicare Nurse Practitioner in Monticello, AR