Katherine D Mellow, APRN in Jonesboro, AR - Medicare Nurse Practitioner

Katherine D Mellow, APRN is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Arkansas. Her current practice location is 1111 Windover Rd, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 936-8000.

Katherine D Mellow is licensed to practice in Arkansas (license number 221712) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629791009.

Contact Information

	Katherine D Mellow, APRN
	1111 Windover Rd, Jonesboro, AR 72401-6159
	(870) 936-8000
	(870) 934-3652

Map and Direction

Provider's Profile

Full Name	Katherine D Mellow
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1111 Windover Rd, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629791009
Provider Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9830565993
Enrollment ID: I20221014002480

Medical Identifiers

Medical identifiers for Katherine D Mellow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629791009	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	221712 (Arkansas)	Primary

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. Katherine D Mellow allows following entities to bill medicare on her behalf.

Entity Name	Northeast Arkansas Clinic Charitable Foundation, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190

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. Katherine D Mellow 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
Katherine D Mellow, APRN Po Box 1960, Jonesboro, AR 72403-1960 Ph: (870) 936-8000	Katherine D Mellow, APRN 1111 Windover Rd, Jonesboro, AR 72401-6159 Ph: (870) 936-8000

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, AR

Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726

Katherine D Mellow, APRN - Medicare Nurse Practitioner in Jonesboro, AR