Kally Marie Elizabeth Sivage, | |
10301 Mayo Dr, Barling, AR 72923-1660 | |
(479) 494-5700 | |
Not Available |
Full Name | Kally Marie Elizabeth Sivage |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 10301 Mayo Dr, Barling, Arkansas |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740762905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | A005843 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Arkansas Counseling And Guidance Center, Inc | 1355326174 | 43 |
Entity Name | Western Arkansas Counseling & Guidance Center, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595 |
Entity Name | Valley Behavioral Health System Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528325651 PECOS PAC ID: 2365693603 Enrollment ID: O20121127000327 |
Entity Name | My Psych Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215643028 PECOS PAC ID: 0749655207 Enrollment ID: O20230414000498 |
Mailing Address | Practice Location Address |
---|---|
Kally Marie Elizabeth Sivage, 119 Dartmouth Ln, Fort Smith, AR 72908-8200 Ph: (479) 561-9583 | Kally Marie Elizabeth Sivage, 10301 Mayo Dr, Barling, AR 72923-1660 Ph: (479) 494-5700 |
Tina Marie Gragg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 | |
Brittney Lynn Sims, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1311 Fort St Ste F, Barling, AR 72923 Phone: 816-769-1680 | |
Ashley Nicole Herren, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 | |
Tammy Rodgers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 Fax: 479-494-5777 | |
Chandra Mathis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Fort St, Barling, AR 72923 Phone: 479-763-1511 Fax: 479-763-1545 | |
Kimberlee Sartain, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Fort St Ste A, Barling, AR 72923 Phone: 479-235-5597 | |
Heather Rae Butler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7003 Chad Colley Blvd, Barling, AR 72923 Phone: 479-431-3500 Fax: 479-452-2098 |