Kathryn N Deacon, | |
502 Richie Rd, Cabot, AR 72023-3309 | |
(501) 941-0940 | |
(501) 941-1875 |
Full Name | Kathryn N Deacon |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 502 Richie Rd, Cabot, 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 |
---|---|---|---|
1598289746 | NPI | - | NPPES |
221205758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A005258 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conway Regional Health System | Conway, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conway Regional Medical Center Inc | 3173428414 | 131 |
Entity Name | Conway Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841200417 PECOS PAC ID: 3173428414 Enrollment ID: O20040605000199 |
Entity Name | Conway Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710513957 PECOS PAC ID: 3173428414 Enrollment ID: O20200602000925 |
Mailing Address | Practice Location Address |
---|---|
Kathryn N Deacon, Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Kathryn N Deacon, 502 Richie Rd, Cabot, AR 72023-3309 Ph: (501) 941-0940 |
Carley Ann Madden, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 Richie Rd, Cabot, AR 72023 Phone: 501-941-0940 Fax: 501-941-1875 | |
Shawn Crow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Cossatot Cir, Cabot, AR 72023 Phone: 501-941-9451 | |
Amy Sullivan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5830 Highway 5, Cabot, AR 72023 Phone: 501-941-1376 Fax: 870-569-3594 | |
Jessica Lynn Burgess, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5830 Highway 5, Cabot, AR 72023 Phone: 501-941-1376 Fax: 501-941-2793 | |
Amanda Kathryn Kincade, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5830 Highway 5, Cabot, AR 72023 Phone: 501-941-1376 Fax: 501-941-2793 | |
Todd Christopher Anderson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Jackson Street, Cabot, AR 72023 Phone: 501-941-3522 Fax: 501-941-3525 | |
Danica Gayle Little, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1106 S Pine St Ste B, Cabot, AR 72023 Phone: 501-422-6373 Fax: 501-422-6375 |