Mrs Leia Dawn O'fallon, ANP in Monticello, AR

Mrs Leia Dawn O'fallon, ANP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Monticello, Arkansas. Her current practice location is 535 Jordan Dr, Monticello, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 367-6246.

Mrs Leia Dawn O'fallon is licensed to practice in Arkansas (license number A01586) 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 1477269306.

Contact Information

	Mrs Leia Dawn O'fallon, ANP
	535 Jordan Dr, Monticello, AR 71655-5714
	(870) 367-6246
	(855) 926-7383

Map and Direction

Provider's Profile

Full Name	Mrs Leia Dawn O'fallon
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	535 Jordan Dr, Monticello, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477269306
Provider Enumeration Date: 01/24/2023
Last Update Date: 04/18/2023

Medicare PECOS Information:

PECOS PAC ID: 7517327240
Enrollment ID: I20230713001143

Medical Identifiers

Medical identifiers for Mrs Leia Dawn O'fallon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477269306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	A01586 (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 Leia Dawn O'fallon allows following entities to bill medicare on her behalf.

Entity Name	Mainline Health Systems, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922727726 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567

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 Leia Dawn O'fallon 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 Leia Dawn O'fallon, ANP Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414	Mrs Leia Dawn O'fallon, ANP 535 Jordan Dr, Monticello, AR 71655-5714 Ph: (870) 367-6246

Reviews and Comments

Nurse Practitioner Nurses in Monticello, AR

Leah Olivia Ross, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 940 Old Warren Road, Monticello, AR 71655 Phone: 870-377-3050
Cassidy Jo Gavin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383
April Brandy Glasscock, APRN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 766 Hl Ross Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383
William Joshua Hunter, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 766 H L Ross Dr, Monticello, AR 71655 Phone: 870-412-4302 Fax: 870-412-4178
Jenny Alexis Blagg, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Jordan Dr, Monticello, AR 71655 Phone: 870-460-9001 Fax: 870-412-4575
Hannah A Hilton, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Jordan Dr, Monticello, AR 71655 Phone: 870-367-6246 Fax: 855-926-7383

Mrs Leia Dawn O'fallon, ANP - Medicare Nurse Practitioner in Monticello, AR