Kenita Poore, NP in Rogers, AR - Medicare Nurse Practitioner

Kenita Poore, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Rogers, Arkansas. Her current practice location is 1001 S Horsebarn Rd, Rogers, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 273-7700.

Kenita Poore is licensed to practice in Arkansas (license number 124002) 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 1063048817.

Contact Information

	Kenita Poore, NP
	1001 S Horsebarn Rd, Rogers, AR 72758-8184
	(479) 273-7700
	(479) 646-7734

Map and Direction

Provider's Profile

Full Name	Kenita Poore
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	1001 S Horsebarn Rd, Rogers, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063048817
Provider Enumeration Date: 03/12/2020
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2769803873
Enrollment ID: I20200528000270

Medical Identifiers

Medical identifiers for Kenita Poore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063048817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	124002 (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. Kenita Poore 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

Entity Name	Washington Regional Medical System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104097500 PECOS PAC ID: 8820995434 Enrollment ID: O20080630000683

Entity Name	Mercy Health Northwest Arkansas Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538460662 PECOS PAC ID: 0648177873 Enrollment ID: O20110406000912

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. Kenita Poore 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
Kenita Poore, NP Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 543-6979	Kenita Poore, NP 1001 S Horsebarn Rd, Rogers, AR 72758-8184 Ph: (479) 273-7700

Reviews and Comments

Nurse Practitioner Nurses in Rogers, AR

Lauren Elizabeth Nueske, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079
Paige Lauren Davis, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2708 S Rife Medical Ln Ste 300, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079
Mrs. Leah Marie Cossey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1194 W Walnut St, Rogers, AR 72756 Phone: 479-878-2550 Fax: 479-878-2555
Annelise Cook, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 W Poplar St, Rogers, AR 72756 Phone: 479-636-9235
Staci Herndon Gathright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2708 Rife Medical Lane, Suite 130, Rogers, AR 72758 Phone: 479-338-5555 Fax: 479-338-5533
Walker Dyer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S 42nd St, Ste 100, Rogers, AR 72758 Phone: 479-273-9173 Fax: 479-464-9989
Starry Taylor Hubbell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030

Kenita Poore, NP - Medicare Nurse Practitioner in Rogers, AR