| Tiffany Dawn Lucas, APRN, AGPCNP-BC | |
|
620 W Grove St Ste 202, El Dorado, AR 71730-4425 | |
| (870) 234-7676 | |
| (870) 562-2560 |
| Full Name | Tiffany Dawn Lucas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 620 W Grove St Ste 202, El Dorado, 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 |
|---|---|---|---|
| 1295185106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | A004783 (Arkansas) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | A004783 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Of South Arkansas | El dorado, AR | Hospital |
| Ouachita County Medical Center | Camden, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Arkansas Physician Group Llc | 4486002151 | 5 |
| Entity Name | South Arkansas Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285325969 PECOS PAC ID: 4486002151 Enrollment ID: O20231120001286 |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083486781 PECOS PAC ID: 4082528955 Enrollment ID: O20240109004338 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Dawn Lucas, APRN, AGPCNP-BC 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000 | Tiffany Dawn Lucas, APRN, AGPCNP-BC 620 W Grove St Ste 202, El Dorado, AR 71730-4425 Ph: (870) 234-7676 |
Rebecca Jan Porter, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 | |
Chelsea Jo Bounds, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Faulkner St, El Dorado, AR 71730 Phone: 870-639-3910 | |
Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 W Hillsboro St, El Dorado, AR 71730 Phone: 870-639-9322 Fax: 501-235-3743 | |
Anita Burleson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N College Ave, El Dorado, AR 71730 Phone: 870-881-8008 | |
Marcia P Ford, APN CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 Fax: 870-862-1891 | |
Mrs. Candance Marie Guinn, PMHNP-BC, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 W Hillsboro St Ste B, El Dorado, AR 71730 Phone: 870-639-9322 Fax: 501-492-6477 | |
Harlee A Pennington, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 E Short Hillsboro St, El Dorado, AR 71730 Phone: 870-862-5124 |