Dr Karen Canulla, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gravette, Arkansas. She went to University Of Arkansas College Of Medicine and graduated in 1991 and has 35 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Pure Balance Of Nwa Pllc and her current practice location is
1101 Jackson St Sw, Gravette, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 787-5291.
Dr Karen Canulla is licensed to practice in Arkansas (license number E-12245) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477758530.
Physician's Profile
| Full Name | Dr Karen Canulla |
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| Gender | Female |
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| Speciality | Psychiatry |
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| Experience | 35 Years |
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| Location | 1101 Jackson St Sw, Gravette, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Karen Canulla attended and graduated from University Of Arkansas College Of Medicine in 1991
NPI Data:
- NPI Number: 1477758530
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365508165
- Enrollment ID: I20191015000265
Medical Identifiers
Medical identifiers for Dr Karen Canulla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477758530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 36948 (Arizona) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E-12245 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pure Balance Of Nwa Pllc | 6901344928 | 9 |
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. Dr Karen Canulla allows following entities to bill medicare on her behalf.
| Entity Name | Sgoh Acquisition Inc |
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| Entity Type | Part B Supplier - Hospital Department(s) |
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| Entity Identifiers | NPI Number: 1568643005
PECOS PAC ID: 5092616276
Enrollment ID: O20081016000559 |
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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. Dr Karen Canulla 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 |
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Dr Karen Canulla, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5291 | Dr Karen Canulla, MD
1101 Jackson St Sw,
Gravette, AR 72736-9121
Ph: (479) 787-5291 |
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