Cory Andrew Mcmahon, APRN | |
201 N Clifton St, Fordyce, AR 71742-3026 | |
(870) 352-6354 | |
(870) 352-6361 |
Full Name | Cory Andrew Mcmahon |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 201 N Clifton St, Fordyce, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679176002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 213428 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dallas County Medical Center | Fordyce, AR | Hospital |
Ouachita County Medical Center | Camden, AR | Hospital |
Bradley County Medical Center | Warren, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Board Of Governors Of Dallas County Medical Center | 7416869300 | 6 |
Entity Name | Board Of Governors Of Dallas County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043308935 PECOS PAC ID: 7416869300 Enrollment ID: O20040302000815 |
Entity Name | Integrated Care Professionals Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016 |
Entity Name | Icp Arkansas Aco Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681 |
Mailing Address | Practice Location Address |
---|---|
Cory Andrew Mcmahon, APRN 200 Salvation Ln, Rison, AR 71665-9604 Ph: (870) 723-1243 | Cory Andrew Mcmahon, APRN 201 N Clifton St, Fordyce, AR 71742-3026 Ph: (870) 352-6354 |
Jenna Bryant, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Clifton St, Fordyce, AR 71742 Phone: 870-352-3525 Fax: 870-352-3533 | |
Christal Martindale, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6354 Fax: 870-352-6361 | |
Madeline Reed, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6300 |