Regina Moore, CNP | |
1652 State Highway 22 W, Dardanelle, AR 72834-2909 | |
(479) 229-8000 | |
(479) 477-3925 |
Full Name | Regina Moore |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 1652 State Highway 22 W, Dardanelle, 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 |
---|---|---|---|
1881120715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A005057 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Conway Behavioral Health, Llc | 3779857891 | 2 |
Entity Name | Conway Behavioral Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245728484 PECOS PAC ID: 3779857891 Enrollment ID: O20181010003468 |
Mailing Address | Practice Location Address |
---|---|
Regina Moore, CNP 1652 State Highway 22 W, Dardanelle, AR 72834-2909 Ph: (479) 229-8000 | Regina Moore, CNP 1652 State Highway 22 W, Dardanelle, AR 72834-2909 Ph: (479) 229-8000 |
Ashley Dawn Shrives, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1176 State Highway 22 W, Suite B, Dardanelle, AR 72834 Phone: 870-605-0014 Fax: 870-994-7488 | |
Keely Hatfield, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3085 | |
Joe Hebert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Maranda J Moore, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10812 Rob Hill Rd, Dardanelle, AR 72834 Phone: 479-453-6216 | |
Kayla Manatt, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1652 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-229-8000 Fax: 479-477-3925 | |
Katerina Lynn Devore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Gretchen Keyse, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 N 4th St, Dardanelle, AR 72834 Phone: 479-229-2827 Fax: 479-229-5749 |