Soudarath Liu, APRN in Bentonville, AR - Medicare Nurse Practitioner

Soudarath Liu, APRN is a medicare enrolled "Nurse Practitioner - Primary Care" in Bentonville, Arkansas. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health Northwest Arkansas Communities and her current practice location is 1401 N Walton Blvd, Bentonville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 319-5355.

Soudarath Liu is licensed to practice in Arkansas (license number 217965) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962153452.

Contact Information

	Soudarath Liu, APRN
	1401 N Walton Blvd, Bentonville, AR 72712-4676
	(479) 319-5355
	Not Available

Map and Direction

Provider's Profile

Full Name	Soudarath Liu
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1401 N Walton Blvd, Bentonville, 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.

Medical Education and Training:

Soudarath Liu graduated from nursing school in 2021

NPI Data:

NPI Number: 1962153452
Provider Enumeration Date: 01/16/2022
Last Update Date: 01/16/2022

Medicare PECOS Information:

PECOS PAC ID: 5597159251
Enrollment ID: I20220223002678

Medical Identifiers

Medical identifiers for Soudarath Liu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962153452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	217965 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Northwest Arkansas	Rogers, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health Northwest Arkansas Communities	0648177873	269

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. Soudarath Liu allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health Northwest Arkansas Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788

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. Soudarath Liu 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
Soudarath Liu, APRN 5418 S Fireplace Dr, Rogers, AR 72758-4601 Ph: (479) 685-2237	Soudarath Liu, APRN 1401 N Walton Blvd, Bentonville, AR 72712-4676 Ph: (479) 319-5355

Reviews and Comments

Nurse Practitioner Nurses in Bentonville, AR

Mrs. Deborah Mullens Shirey, DNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Se Walton Blvd., Ozark Urgent Care, Bentonville, AR 72712 Phone: 479-464-0400
Janice Williams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Se 13th Ct, Bentonville, AR 72712 Phone: 479-273-9056 Fax: 479-273-6937
Diana Rene Dunbar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250
Valerie Bedwell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 Medical Center Pkwy Ste 240b, Bentonville, AR 72712 Phone: 479-553-2200
Ms. Lisa Elaine Atkins, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6090 Fax: 479-986-6250
Lorinda M Macdonald, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Sw I St Ste 23, Bentonville, AR 72712 Phone: 603-356-4949
Mr. Johnny Mac Stevens, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3101 Se 14th St Ste B, Bentonville, AR 72712 Phone: 479-250-1053 Fax: 479-250-0923

Soudarath Liu, APRN - Medicare Nurse Practitioner in Bentonville, AR