Kelly Jo Hubbard, APN is a medicare enrolled "Nurse Practitioner - Family" in Lavaca, Arkansas. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice River Valley Primary Care Services and 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 | Nurse Practitioner |
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| Experience | 15 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 graduated from nursing school in 2009
NPI Data:
- NPI Number: 1780990408
- Provider Enumeration Date: 08/19/2010
- Last Update Date: 04/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 1052500576
- Enrollment ID: I20110113000681
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 |
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| 363LF0000X | Nurse Practitioner - Family | AO3428 ANP (Arkansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| River Valley Primary Care Services | 0042274276 | 36 |
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. Kelly Jo Hubbard 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. 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 |
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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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