Rickey Edna Mack, CNP in Perryville, AR - Medicare Nurse Practitioner

Rickey Edna Mack, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Perryville, Arkansas. Her current practice location is 1016 N Fourche Ave, Perryville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 238-1284.

Rickey Edna Mack is licensed to practice in Arkansas (license number A005560) 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 1528560513.

Contact Information

	Rickey Edna Mack, CNP
	1016 N Fourche Ave, Perryville, AR 72126-8545
	(501) 238-1284
	(501) 679-8970

Map and Direction

Provider's Profile

Full Name	Rickey Edna Mack
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1016 N Fourche Ave, Perryville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528560513
Provider Enumeration Date: 03/06/2018
Last Update Date: 12/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8527307438
Enrollment ID: I20190311001267

Medical Identifiers

Medical identifiers for Rickey Edna Mack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528560513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	A005560 (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. Rickey Edna Mack allows following entities to bill medicare on her behalf.

Entity Name	Access Medical Clinic Arkansas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288

Entity Name	Access Medical Clinic Arkansas Ltc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114578929 PECOS PAC ID: 0547618175 Enrollment ID: O20231208000065

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. Rickey Edna Mack 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
Rickey Edna Mack, CNP 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () -	Rickey Edna Mack, CNP 1016 N Fourche Ave, Perryville, AR 72126-8545 Ph: (501) 238-1284

Reviews and Comments

Nurse Practitioner Nurses in Perryville, AR

Whitley Erin Harris, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Fourche Ave, Perryville, AR 72126 Phone: 501-238-1284 Fax: 504-468-0469
Megan Andres, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 North Fourche Avenue, Perryville, AR 72126 Phone: 501-238-1284
Rainie Jones, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 518 N Fourche Ave, Perryville, AR 72126 Phone: 501-889-5543 Fax: 501-889-5546
Dionne H Wallace, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Fourche Ave, Perryville, AR 72126 Phone: 501-238-1284
Brandie Tindell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Fourche Ave, Perryville, AR 72126 Phone: 870-856-1202 Fax: 870-895-2164
Sandra Elaine Odom, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 N Fourche Ave, Perryville, AR 72126 Phone: 501-238-1284

Rickey Edna Mack, CNP - Medicare Nurse Practitioner in Perryville, AR