Mr Kelly Glenn Thompson-davis, APRN in Little Rock, AR

Mr Kelly Glenn Thompson-davis, APRN is a medicare enrolled "Nurse Practitioner - Family" in Little Rock, Arkansas. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northwest Benton County Physician Services Llc and his current practice location is 4208 N Rodney Parham Rd, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 228-7200.

Mr Kelly Glenn Thompson-davis is licensed to practice in Arkansas (license number 214719) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467043224.

Contact Information

	Mr Kelly Glenn Thompson-davis, APRN
	4208 N Rodney Parham Rd, Little Rock, AR 72212-2462
	(501) 228-7200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Kelly Glenn Thompson-davis
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	4208 N Rodney Parham Rd, Little Rock, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kelly Glenn Thompson-davis graduated from nursing school in 2020

NPI Data:

NPI Number: 1467043224
Provider Enumeration Date: 02/03/2021
Last Update Date: 11/06/2023

Medicare PECOS Information:

PECOS PAC ID: 8123434651
Enrollment ID: I20210309000884

Medical Identifiers

Medical identifiers for Mr Kelly Glenn Thompson-davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467043224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	214719 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northwest Medical Center-springdale	Springdale, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Benton County Physician Services Llc	3577503689	28

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. Mr Kelly Glenn Thompson-davis allows following entities to bill medicare on his behalf.

Entity Name	Arkansas Family Care Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497718134 PECOS PAC ID: 0648256800 Enrollment ID: O20040628000962

Entity Name	Northwest Benton County Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505

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. Mr Kelly Glenn Thompson-davis 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
Mr Kelly Glenn Thompson-davis, APRN 4208 N Rodney Parham Rd, Little Rock, AR 72212-2462 Ph: (501) 228-7200	Mr Kelly Glenn Thompson-davis, APRN 4208 N Rodney Parham Rd, Little Rock, AR 72212-2462 Ph: (501) 228-7200

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

Mr Kelly Glenn Thompson-davis, APRN - Medicare Nurse Practitioner in Little Rock, AR