Katerina Lynn Devore, - Medicare Nurse Practitioner in Dardanelle, AR

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Katerina Lynn Devore, is a medicare enrolled "Nurse Practitioner - Family" in Dardanelle, Arkansas. Her current practice location is 200 N 3rd St, Dardanelle, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 229-6191.

Katerina Lynn Devore is licensed to practice in Arkansas (license number A005451) 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 1275040511.

Contact Information

Katerina Lynn Devore,
200 N 3rd St,
Dardanelle, AR 72834-3802
(479) 229-6191
(479) 229-6194

Map and Direction




Provider's Profile

Full NameKaterina Lynn Devore
GenderFemale
SpecialityNurse Practitioner - Family
Location200 N 3rd St, Dardanelle, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275040511
  • Provider Enumeration Date: 01/09/2018
  • Last Update Date: 09/27/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0648530295
  • Enrollment ID: I20180131000403

Medical Identifiers

Medical identifiers for Katerina Lynn Devore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275040511NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A005451 (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. Katerina Lynn Devore allows following entities to bill medicare on her behalf.
Entity NameConway Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841200417
PECOS PAC ID: 3173428414
Enrollment ID: O20040605000199
Entity NameRiver Valley Medical Center Family Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245437490
PECOS PAC ID: 1759464035
Enrollment ID: O20080208000579
Entity NameDardanelle Regional Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1023109097
PECOS PAC ID: 0345576500
Enrollment ID: O20220523001905
Entity NameDardanelle Regional Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730737131
PECOS PAC ID: 0345576500
Enrollment ID: O20230711000936

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. Katerina Lynn Devore 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 AddressPractice Location Address
Katerina Lynn Devore,
200 N 3rd St,
Dardanelle, AR 72834-3802

Ph: (479) 229-6191		Katerina Lynn Devore,
200 N 3rd St,
Dardanelle, AR 72834-3802

Ph: (479) 229-6191

Reviews and Comments


Nurse Practitioner Nurses in Dardanelle, AR

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
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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.