Mrs Glenda Darlene Gore, FNP-BC in Conway, AR

Mrs Glenda Darlene Gore, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Conway, Arkansas. Her current practice location is 719 Front Street, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 900-4549.

Mrs Glenda Darlene Gore is licensed to practice in Arkansas (license number 124130) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538798087.

Contact Information

	Mrs Glenda Darlene Gore, FNP-BC
	719 Front Street, Conway, AR 72032
	(501) 900-4549
	(484) 328-6447

Map and Direction

Provider's Profile

Full Name	Mrs Glenda Darlene Gore
Gender	Female
Speciality	Nurse Practitioner - Family
Location	719 Front Street, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538798087
Provider Enumeration Date: 04/06/2020
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 6204200553
Enrollment ID: I20230328001345

Medical Identifiers

Medical identifiers for Mrs Glenda Darlene Gore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538798087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	124130 (Arkansas)	Primary

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. Mrs Glenda Darlene Gore allows following entities to bill medicare on her behalf.

Entity Name	Healing Journey Health & Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477267946 PECOS PAC ID: 6800260142 Enrollment ID: O20230328000979

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. Mrs Glenda Darlene Gore 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
Mrs Glenda Darlene Gore, FNP-BC 719 Front Street, Conway, AR 72032 Ph: (501) 900-4549	Mrs Glenda Darlene Gore, FNP-BC 719 Front Street, Conway, AR 72032 Ph: (501) 900-4549

Reviews and Comments

Nurse Practitioner Nurses in Conway, AR

Marina Gray, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Hogan Ln Ste 2, Conway, AR 72034 Phone: 501-358-6695 Fax: 501-358-6860
Mckenzie Lauren Cotton, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1065 Skyline Dr, Conway, AR 72032 Phone: 501-499-6222
Cynthia Lou Grubbs, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Hogan Ln, Conway, AR 72034 Phone: 501-327-1150 Fax: 501-327-3427
Mrs. Leah Maranda Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Harkrider St, Suite B, Conway, AR 72032 Phone: 501-327-7100 Fax: 501-279-9011
Keisha A. Fox, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Salem Rd Ste 1, Conway, AR 72034 Phone: 479-518-4977 Fax: 479-203-3030
Mrs. Shakenia A Tate, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 E Siebenmorgen Rd, Conway, AR 72032 Phone: 501-329-6851
David Adam Steinfeld, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 S German Ln Ste 1, Conway, AR 72034 Phone: 501-358-6606 Fax: 501-325-5554

Mrs Glenda Darlene Gore, FNP-BC - Medicare Nurse Practitioner in Conway, AR