| Autumn Bennett, WHNP-BC, AGPCNP-BC | |
|
1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | |
| (870) 364-0577 | |
| Not Available |
| Full Name | Autumn Bennett |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1003 Fred Lagrone Dr, Crossett, 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 |
|---|---|---|---|
| 1649662578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | A004363 (Arkansas) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | A004363 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ashley County Medical Center | Crossett, AR | Hospital |
| Chicot Memorial Medical Center | Lake village, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Rehab Llc. | 6709884604 | 2 |
| Crossett Health Foundation | 9133030117 | 18 |
| Entity Name | Chicot Memorial Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1235453192 PECOS PAC ID: 2466576194 Enrollment ID: O20101005001173 |
| Entity Name | Southeast Rehab Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295276970 PECOS PAC ID: 6709884604 Enrollment ID: O20170425000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Bennett, WHNP-BC, AGPCNP-BC Po Box H, Crossett, AR 71635-1808 Ph: (870) 364-0577 | Autumn Bennett, WHNP-BC, AGPCNP-BC 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 Ph: (870) 364-0577 |
Karen Sowers Holman, APRN-CNP/FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 127 Dogwood Dr, Crossett, AR 71635 Phone: 870-364-3617 | |
Mr. Charles L Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 909 Unity Rd, Crossett, AR 71635 Phone: 870-364-9111 Fax: 870-364-5581 | |
Jenny Murphy, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1015 Unity Rd, Crossett, AR 71635 Phone: 870-853-6116 | |
Pamela S Winston, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Ray Lochala Rd, Crossett, AR 71635 Phone: 870-364-0590 | |
Cynthia E. Murphy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Ray Lochala Rd, Crossett, AR 71635 Phone: 870-364-0590 Fax: 870-305-4281 | |
Julie Leanne Bays, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 909 Unity Rd Ste B, Crossett, AR 71635 Phone: 870-364-9111 Fax: 870-364-1598 | |
Cheryl Denise Rabalais, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Ray Lochala Rd, Crossett, AR 71635 Phone: 870-364-0590 |