| Ashley Cannon, | |
|
319 W Parker St, Hamburg, AR 71646-3121 | |
| (870) 853-8271 | |
| Not Available |
| Full Name | Ashley Cannon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 319 W Parker St, Hamburg, 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 |
|---|---|---|---|
| 1447996517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F05220215 (Arkansas) | Primary |
| 363L00000X | Nurse Practitioner | 220179 (Arkansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Venvisor Health Of Ar Pa | 8022551647 | 21 |
| Entity Name | Crossett Health Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093084808 PECOS PAC ID: 9133030117 Enrollment ID: O20120314000287 |
| Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20180122001018 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210811001714 |
| Entity Name | Venvisor Health Of Ar Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992553028 PECOS PAC ID: 8022551647 Enrollment ID: O20240624001176 |
| Entity Name | Cs Pacs 3 Southwest, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275398430 PECOS PAC ID: 1254879620 Enrollment ID: O20240828004216 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Cannon, 714 Pine Manor Dr, Hamburg, AR 71646-3313 Ph: (870) 853-7534 | Ashley Cannon, 319 W Parker St, Hamburg, AR 71646-3121 Ph: (870) 853-8271 |
Tracey Ellen Kelley, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 | |
Cynthia Dianne Stahley, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1109 Cub Drive, Hamburg, AR 71646 Phone: 870-224-0116 Fax: 877-751-3582 | |
Zanna Linder, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 | |
Holly Nicole Frisby, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-853-8236 | |
Ms. Rebecca Lynn Amos, BSN-C APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 319 W Parker St, Hamburg, AR 71646 Phone: 870-853-8271 Fax: 870-853-8932 | |
Spencer Chad Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 406 E Saint Louis St, Hamburg, AR 71646 Phone: 870-831-5016 |