Staci Yvonne Duvall, MED, LPC in Clarksville, AR

Staci Yvonne Duvall, MED, LPC is a medicare enrolled "Counselor - Professional" provider in Clarksville, Arkansas. Her current practice location is 1021 E Poplar St, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 754-8610.

Staci Yvonne Duvall is licensed to practice in Arkansas (license number P1503016) 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 1205118049.

Contact Information

	Staci Yvonne Duvall, MED, LPC
	1021 E Poplar St, Clarksville, AR 72830-4428
	(479) 754-8610
	(479) 754-8788

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Yvonne Duvall
Gender	Female
Speciality	Counselor - Professional
Location	1021 E Poplar St, Clarksville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205118049
Provider Enumeration Date: 09/19/2011
Last Update Date: 04/30/2020

Medicare PECOS Information:

PECOS PAC ID: 5092257618
Enrollment ID: I20240611000113

Medical Identifiers

Medical identifiers for Staci Yvonne Duvall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205118049	NPI	-	NPPES
227034719	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	P1503016 (Arkansas)	Primary
101YM0800X	Counselor - Mental Health	P1503016 (Arkansas)	Secondary

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. Staci Yvonne Duvall allows following entities to bill medicare on her behalf.

Entity Name	Lumina Revenue Cycle Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154894954 PECOS PAC ID: 0941603922 Enrollment ID: O20210728002446

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. Staci Yvonne Duvall 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
Staci Yvonne Duvall, MED, LPC 2400 S 48th St, Springdale, AR 72762-6683 Ph: (479) 750-2020	Staci Yvonne Duvall, MED, LPC 1021 E Poplar St, Clarksville, AR 72830-4428 Ph: (479) 754-8610

Reviews and Comments

Counselor in Clarksville, AR

Rachel Thelen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1124 S Rogers St, Clarksville, AR 72830 Phone: 479-337-7327 Fax: 479-227-5002
Mrs. Lisa Noelle Senter, AT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 S Rogers St, Ste 7&8, Clarksville, AR 72830 Phone: 479-754-5511 Fax: 479-754-5545
Karen Turner, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 E Poplar St, Clarksville, AR 72830 Phone: 479-754-8610 Fax: 479-890-5364
Mrs. Stacy Leigh Mcelhaney, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 S Rogers St, Ste 7&8, Clarksville, AR 72830 Phone: 479-754-5511 Fax: 479-754-5545
Jerry Lewis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1606r W Cherry St, Clarksville, AR 72830 Phone: 479-979-4909
Mrs. Hilary Spring Childers, LPE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1021 E Poplar St, Clarksville, AR 72830 Phone: 479-754-8610

Staci Yvonne Duvall, MED, LPC - Medicare Counselor in Clarksville, AR