| Tracy Ann Pefferkorn, LPC | |
|
403 Filmore St., Fordyce, AR 71742 | |
| (870) 313-1579 | |
| (870) 352-5127 |
| Full Name | Tracy Ann Pefferkorn |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 24 Years |
| Location | 403 Filmore St., Fordyce, 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 |
|---|---|---|---|
| 1619007226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1001005 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reding And Leach Md Pllc | 7012258627 | 44 |
| Entity Name | Reding & Leach Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Ann Pefferkorn, LPC 403 Filmore St., Fordyce, AR 71742 Ph: (870) 313-1579 | Tracy Ann Pefferkorn, LPC 403 Filmore St., Fordyce, AR 71742 Ph: (870) 313-1579 |
Judy Prince, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Brandy Tydingco, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Lesley Self Ford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Clifton St, Fordyce, AR 71742 Phone: 870-352-6311 Fax: 870-352-0223 | |
Frankie Hickman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Jeanna Pennington, LPC Counselor Medicare: Medicare Enrolled Practice Location: 300 N Clifton St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 | |
Mrs. Roselle Roberson, M.S., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W 3rd St, Fordyce, AR 71742 Phone: 870-352-5122 Fax: 870-352-5127 |