| Mrs Marilyn Jean Mckown, MHPP | |
|
1310 W Main St Ste 100, Russellville, AR 72801-2803 | |
| (479) 964-2011 | |
| Not Available |
| Full Name | Mrs Marilyn Jean Mckown |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 1310 W Main St Ste 100, Russellville, 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 |
|---|---|---|---|
| 1033367412 | NPI | - | NPPES |
| 173555795 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P2402014 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Real Development Corporation | 1153751334 | 5 |
| Entity Name | Real Development Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568943140 PECOS PAC ID: 1153751334 Enrollment ID: O20200501000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marilyn Jean Mckown, MHPP P.o. Drawer 2109, Russellville, AR 72811-2109 Ph: (479) 967-2322 | Mrs Marilyn Jean Mckown, MHPP 1310 W Main St Ste 100, Russellville, AR 72801-2803 Ph: (479) 964-2011 |
Megan Roshawn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Dr, Russellville, AR 72801 Phone: 479-967-5570 Fax: 479-890-5364 | |
Raven Cruz-humberto, Counselor Medicare: May Accept Medicare Assignments Practice Location: 104 Lock And Dam Rd, Russellville, AR 72802 Phone: 479-747-5222 | |
Phillip M Higdon, MS LADAC CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Skyline Drive, Russellville, AR 72801 Phone: 479-968-1298 Fax: 479-968-6053 | |
Mary Caitlyn Conner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 N Boston Pl, Russellville, AR 72801 Phone: 479-219-4100 | |
Matthew Waymack, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1610 S Arkansas Ave, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 | |
Theodore Gongola, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3205 W Main St, Russellville, AR 72801 Phone: 479-967-4673 Fax: 479-967-7140 |