Mrs Keri Danielle Victory-mcdaniel, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Jonesboro, Arkansas. Her current practice location is
1815 Pleasant Grove Rd, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 933-6886.
Mrs Keri Danielle Victory-mcdaniel is licensed to practice in Arkansas (license number 223953) 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 1376191502.
Physician's Profile
| Full Name | Mrs Keri Danielle Victory-mcdaniel |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1815 Pleasant Grove Rd, Jonesboro, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376191502
- Provider Enumeration Date: 08/30/2019
- Last Update Date: 02/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628300795
- Enrollment ID: I20191023002276
Medical Identifiers
Medical identifiers for Mrs Keri Danielle Victory-mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1376191502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 888661 (Mississippi) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 223953 (Arkansas) | Primary |
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. Mrs Keri Danielle Victory-mcdaniel allows following entities to bill medicare on her behalf.
| Entity Name | Region Seven Mental Health Intellectual Disabilities Comm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700894730 PECOS PAC ID: 3072531953 Enrollment ID: O20051109000565 |
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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. Mrs Keri Danielle Victory-mcdaniel 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 |
Mrs Keri Danielle Victory-mcdaniel, PMHNP-BC 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 Ph: (870) 933-6886 | Mrs Keri Danielle Victory-mcdaniel, PMHNP-BC 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 Ph: (870) 933-6886 |
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