Mallori Levengood, | |
2500 Rike Dr, Pine Bluff, AR 71603-3937 | |
(870) 718-4428 | |
Not Available |
Full Name | Mallori Levengood |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2500 Rike Dr, Pine Bluff, 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 |
---|---|---|---|
1871185066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 214790 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Arkansas Behavioral Healthcare System Inc | 0042292674 | 13 |
Brightside Medical Of Michigan Pc | 9830562776 | 5 |
Entity Name | Southeast Arkansas Behavioral Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457398547 PECOS PAC ID: 0042292674 Enrollment ID: O20040607000289 |
Entity Name | Brightside Medical Of Michigan Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230821000585 |
Mailing Address | Practice Location Address |
---|---|
Mallori Levengood, 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 718-4428 | Mallori Levengood, 2500 Rike Dr, Pine Bluff, AR 71603-3937 Ph: (870) 718-4428 |
Mrs. Debra Venola Davis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3104 S Catalpa St Ste 9, Pine Bluff, AR 71603 Phone: 870-718-2822 | |
Mrs. Diana Gray Millenbaugh, MSN, RNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603 Phone: 870-534-4847 Fax: 870-534-4884 | |
Mrs. Lillian Jynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Blake St, Pine Bluff, AR 71601 Phone: 870-536-6600 | |
Dr. Michelle Leigh Bagby, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2906 Market St, Pine Bluff, AR 71601 Phone: 870-850-8200 Fax: 870-850-8424 | |
Collene Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603 Phone: 870-541-7211 | |
Ms. Ernice Lashette Rogers, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603 Phone: 870-535-2142 | |
Cornelia Rhodes, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603 Phone: 870-267-4912 |