Keeanndase Pace, APRN in Little Rock, AR - Medicare Nurse Practitioner

Keeanndase Pace, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Little Rock, Arkansas. Her current practice location is 10025 W Markham St, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 663-5473.

Keeanndase Pace is licensed to practice in Arkansas (license number 221787) 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 1790408482.

Contact Information

	Keeanndase Pace, APRN
	10025 W Markham St, Little Rock, AR 72205-1407
	(501) 663-5473
	Not Available

Map and Direction

Provider's Profile

Full Name	Keeanndase Pace
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	10025 W Markham St, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790408482
Provider Enumeration Date: 09/19/2022
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4385000819
Enrollment ID: I20230525000834

Medical Identifiers

Medical identifiers for Keeanndase Pace such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790408482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	221787 (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. Keeanndase Pace allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871959874 PECOS PAC ID: 7911802079 Enrollment ID: O20141029001863

Entity Name	Supportive Psych Care Of Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887

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. Keeanndase Pace 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
Keeanndase Pace, APRN 9439 Princeton Pike, Pine Bluff, AR 71602-8536 Ph: (501) 366-6015	Keeanndase Pace, APRN 10025 W Markham St, Little Rock, AR 72205-1407 Ph: (501) 663-5473

Reviews and Comments

Nurse Practitioner Nurses in Little Rock, AR

Tammie R Glover-brockinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 W Markham St, Little Rock, AR 72205 Phone: 501-686-7000
Rachael Nichole Daugherty, APN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205 Phone: 501-552-4777 Fax: 501-552-4482
Lauren Searcy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-364-1100
Mrs. Michelle Parish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 W Markham St, Little Rock, AR 72205 Phone: 501-227-0184
Ashley Benton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Chenal Heights Dr, Little Rock, AR 72223 Phone: 501-830-2271
Rachel Sloan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000
Elizabeth Fiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816

Keeanndase Pace, APRN - Medicare Nurse Practitioner in Little Rock, AR