Angelia Faye Moll, APN in Clarksville, AR - Medicare Nurse Practitioner

Angelia Faye Moll, APN is a medicare enrolled "Nurse Practitioner" in Clarksville, Arkansas. Her current practice location is 1100 E Poplar St, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 354-4637.

Angelia Faye Moll is licensed to practice in Arkansas (license number A03671) 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 1376818708.

Contact Information

	Angelia Faye Moll, APN
	1100 E Poplar St, Clarksville, AR 72830-4419
	(501) 354-4637
	(501) 354-2248

Map and Direction

Provider's Profile

Full Name	Angelia Faye Moll
Gender	Female
Speciality	Nurse Practitioner
Location	1100 E Poplar St, Clarksville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376818708
Provider Enumeration Date: 03/19/2012
Last Update Date: 05/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5597926386
Enrollment ID: I20120423000646

Medical Identifiers

Medical identifiers for Angelia Faye Moll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376818708	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	A03671 (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. Angelia Faye Moll allows following entities to bill medicare on her behalf.

Entity Name	St Anthonys Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992137236 PECOS PAC ID: 4082516554 Enrollment ID: O20080125000635

Entity Name	East Arkansas Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932442985 PECOS PAC ID: 5698909067 Enrollment ID: O20131018000502

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. Angelia Faye Moll 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
Angelia Faye Moll, APN 1100 E Poplar St, Clarksville, AR 72830-4419 Ph: (479) 754-5454	Angelia Faye Moll, APN 1100 E Poplar St, Clarksville, AR 72830-4419 Ph: (501) 354-4637

Reviews and Comments

Nurse Practitioner Nurses in Clarksville, AR

Ashley N Gattis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 W Main St, Clarksville, AR 72830 Phone: 479-668-3282 Fax: 479-668-3284
Garrett Kyle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 S Rogers St, Clarksville, AR 72830 Phone: 479-491-4141 Fax: 479-491-4143
Susan Gateley, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141
Catherine Stephanie Miranda, CNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 N Mcconnell St, Clarksville, AR 72830 Phone: 479-440-8197 Fax: 479-440-8198
Marcella Anne Handley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2428 Wire Rd, Clarksville, AR 72830 Phone: 479-754-4808
Maranda Hickey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 E Poplar St Ste A, Clarksville, AR 72830 Phone: 479-754-5337
Jess Jordan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 W Lucas St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141

Angelia Faye Moll, APN - Medicare Nurse Practitioner in Clarksville, AR