Kelly R Mccarty, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Fayetteville, Arkansas. She graduated from medical school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pure Balance Of Nwa Pllc and her current practice location is
5872 W Bannister Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 276-0939.
Kelly R Mccarty is licensed to practice in Arkansas (license number 123726) 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 1821619370.
Physician's Profile
| Full Name | Kelly R Mccarty |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 5872 W Bannister Dr, Fayetteville, 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:
- Kelly R Mccarty graduated from medical school in 2022
NPI Data:
- NPI Number: 1821619370
- Provider Enumeration Date: 05/06/2020
- Last Update Date: 08/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810377991
- Enrollment ID: I20220707000453
Medical Identifiers
Medical identifiers for Kelly R Mccarty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821619370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 123726 (Arkansas) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 123726 (Arkansas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 123726 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pure Balance Of Nwa Pllc | 6901344928 | 7 |
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. Kelly R Mccarty allows following entities to bill medicare on her behalf.
| Entity Name | Pure Balance Of Nwa Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073359931
PECOS PAC ID: 6901344928
Enrollment ID: O20240821001375 |
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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. Kelly R Mccarty 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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Kelly R Mccarty, APRN
5872 W Bannister Dr,
Fayetteville, AR 72704-6536
Ph: (479) 276-0939 | Kelly R Mccarty, APRN
5872 W Bannister Dr,
Fayetteville, AR 72704-6536
Ph: (479) 276-0939 |
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