Kelly Jo Hubbard, APN is a medicare enrolled "Nurse Practitioner - Family" in Lavaca, Arkansas. Her current practice location is
603 S Division St, Lavaca, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 279-7700.
Kelly Jo Hubbard is licensed to practice in Arkansas (license number AO3428 ANP) 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 1780990408.
Provider's Profile
| Full Name | Kelly Jo Hubbard |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 603 S Division St, Lavaca, 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:
- Kelly Jo Hubbard attended and graduated from in
NPI Data:
- NPI Number: 1780990408
- Provider Enumeration Date: 08/19/2010
- Last Update Date: 04/15/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelly Jo Hubbard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780990408 | NPI | - | NPPES |
| 200305120A | Medicaid | OK | |
| 186319758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | AO3428 ANP (Arkansas) | Primary |
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. Kelly Jo Hubbard 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 |
|---|
Kelly Jo Hubbard, APN
Po Box 130,
Ratcliff, AR 72951-0130
Ph: (479) 635-5300 | Kelly Jo Hubbard, APN
603 S Division St,
Lavaca, AR 72941-4129
Ph: (479) 279-7700 |
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