| Jennifer Rose Mira, APRN | |
|
1 Mercy Way Ste 20, Bella Vista, AR 72714-3000 | |
| (479) 802-5555 | |
| (479) 876-2829 |
| Full Name | Jennifer Rose Mira |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 1 Mercy Way Ste 20, Bella Vista, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346707981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A006143 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Northwest Arkansas Communities | 0648177873 | 269 |
| Access Medical Clinic Arkansas Llc | 5890077093 | 123 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Entity Name | Bradley Bibb Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Rose Mira, APRN 1 Mercy Way Ste 20, Bella Vista, AR 72714-3000 Ph: (479) 802-5555 | Jennifer Rose Mira, APRN 1 Mercy Way Ste 20, Bella Vista, AR 72714-3000 Ph: (479) 802-5555 |
Mr. Albert Paul Price Jr., A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5556 Fax: 479-876-2829 | |
Jennifer Diane Liles, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Memorial Dr, Bella Vista, AR 72714 Phone: 479-855-6165 | |
Jason R Young, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5555 Fax: 479-876-2829 | |
Kimberle S Patterson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Mercy Way Ste 20, Bella Vista, AR 72714 Phone: 479-802-5555 Fax: 479-876-2829 | |
Mrs. Betty Jo Sammer, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Memorial Dr, Bella Vista, AR 72714 Phone: 479-855-6164 Fax: 479-855-2831 | |
Angela Mae Dozier, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Saxilby Ln, Bella Vista, AR 72715 Phone: 702-908-7027 |