Jessica Keely Moschner, CNP | |
207 Carter St, Berryville, AR 72616-4303 | |
(870) 423-6661 | |
Not Available |
Full Name | Jessica Keely Moschner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 207 Carter St, Berryville, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164952412 | NPI | - | NPPES |
PENDING | Other | AR | MEDICARE |
PENDING | Medicaid | AR | |
420045434 | Medicaid | MO | |
PENDING | Other | MO | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 2007025317 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | A005277 (Arkansas) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
Mailing Address | Practice Location Address |
---|---|
Jessica Keely Moschner, CNP 207 Carter St, Berryville, AR 72616-4303 Ph: (870) 423-6661 | Jessica Keely Moschner, CNP 207 Carter St, Berryville, AR 72616-4303 Ph: (870) 423-6661 |
Cathy Barker-brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Carter St, Berryville, AR 72616 Phone: 870-423-5661 | |
Victoria Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1008 W Trimble Ave, Berryville, AR 72616 Phone: 888-912-6742 Fax: 866-493-3688 | |
Taesha Cybille Nicole Winford, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 Orchard Dr, Berryville, AR 72616 Phone: 870-423-2320 Fax: 870-423-7431 | |
Carol Ann Wynn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Carter St, Berryville, AR 72616 Phone: 870-438-5216 |