Marlo Rae Hargrave, NP | |
2200 Malcolm Ave, Newport, AR 72112-3668 | |
(870) 512-2500 | |
(870) 512-2525 |
Full Name | Marlo Rae Hargrave |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2200 Malcolm Ave, Newport, 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 |
---|---|---|---|
1275041923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R090426 (Arkansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | A005695 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
White River Medical Center | Batesville, AR | Hospital |
Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
White River Health System Inc | 0143134270 | 151 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568432144 PECOS PAC ID: 0143134270 Enrollment ID: O20040830000837 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568442127 PECOS PAC ID: 0143134270 Enrollment ID: O20060221000012 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457396616 PECOS PAC ID: 0143134270 Enrollment ID: O20060830000031 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871609743 PECOS PAC ID: 0143134270 Enrollment ID: O20070223000663 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467519249 PECOS PAC ID: 0143134270 Enrollment ID: O20070503000423 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477523348 PECOS PAC ID: 0143134270 Enrollment ID: O20110510000339 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962482430 PECOS PAC ID: 0143134270 Enrollment ID: O20110614000786 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760452643 PECOS PAC ID: 0143134270 Enrollment ID: O20111003000187 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578543070 PECOS PAC ID: 0143134270 Enrollment ID: O20120725000268 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962878207 PECOS PAC ID: 0143134270 Enrollment ID: O20160318001395 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104275486 PECOS PAC ID: 0143134270 Enrollment ID: O20170119000552 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013451186 PECOS PAC ID: 0143134270 Enrollment ID: O20170125002953 |
Entity Name | White River Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154770436 PECOS PAC ID: 0143134270 Enrollment ID: O20170216001323 |
Mailing Address | Practice Location Address |
---|---|
Marlo Rae Hargrave, NP 16 Hospital Cir Ste A, Batesville, AR 72501-7343 Ph: (870) 262-5545 | Marlo Rae Hargrave, NP 2200 Malcolm Ave, Newport, AR 72112-3668 Ph: (870) 512-2500 |
Mr. Matthew Dean Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1205 Mclain St, Newport, AR 72112 Phone: 870-512-3355 | |
Kara Lynette Carpenter Treadway, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1702 Malcolm Ave, Newport, AR 72112 Phone: 870-495-7001 Fax: 870-495-7012 | |
Megan Gardner Cherry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Mclain St Ste G, Newport, AR 72112 Phone: 870-523-0193 | |
Ms. Barbara Diane Menley, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 Mclain St, Newport, AR 72112 Phone: 870-523-3900 Fax: 870-523-3902 | |
Kerry Hanna, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Mclain St, Newport, AR 72112 Phone: 870-523-2944 | |
Julie Lydolph, MD Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2200 Malcolm Ave, Newport, AR 72112 Phone: 870-512-2500 Fax: 870-512-2525 | |
Samantha Beth Anderson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1205 Mclain St, Newport, AR 72112 Phone: 870-523-8911 Fax: 870-512-3455 |