Brandy Lee Vines, is a medicare enrolled "Nurse Practitioner - Family" in Pea Ridge, Arkansas. Her current practice location is
2103 Slack St, Pea Ridge, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(765) 479-1980.
Brandy Lee Vines is licensed to practice in Arkansas (license number 227730) 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 1306602701.
Provider's Profile
Full Name | Brandy Lee Vines |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2103 Slack St, Pea Ridge, 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: 1306602701
- Provider Enumeration Date: 02/23/2024
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193161974
- Enrollment ID: I20240314004305
Medical Identifiers
Medical identifiers for Brandy Lee Vines such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306602701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 227730 (Arkansas) | Primary |
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. Brandy Lee Vines 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 |
Brandy Lee Vines, 2103 Slack St, Pea Ridge, AR 72751-4005 Ph: (479) 756-1980 | Brandy Lee Vines, 2103 Slack St, Pea Ridge, AR 72751-4005 Ph: (765) 479-1980 |
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