Katie Jean Donovan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mountainburg, Arkansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice River Valley Primary Care Services, Fands Physical Therapy, Inc and her current practice location is
4 Highway 71, Mountainburg, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 369-2091.
Katie Jean Donovan is licensed to practice in Arkansas (license number 122553) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447879168.
Provider's Profile
| Full Name | Katie Jean Donovan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 4 Highway 71, Mountainburg, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katie Jean Donovan graduated from nursing school in 2019
NPI Data:
- NPI Number: 1447879168
- Provider Enumeration Date: 04/13/2020
- Last Update Date: 04/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325478571
- Enrollment ID: I20200430002616
Medical Identifiers
Medical identifiers for Katie Jean Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447879168 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 122553 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| River Valley Primary Care Services | 0042274276 | 36 |
| Fands Physical Therapy, Inc | 7810898459 | 80 |
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. Katie Jean Donovan allows following entities to bill medicare on her behalf.
| Entity Name | River Valley Primary Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952349003
PECOS PAC ID: 0042274276
Enrollment ID: O20050503001398 |
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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. Katie Jean Donovan 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 |
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Katie Jean Donovan, APRN
9755 W State Highway 22,
Ratcliff, AR 72951-9000
Ph: () - | Katie Jean Donovan, APRN
4 Highway 71,
Mountainburg, AR 72946
Ph: (479) 369-2091 |
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