| Charity Angela Lane, APRN | |
|
104 West State St, Caraway, AR 72419-8553 | |
| (870) 956-0200 | |
| (870) 895-2164 |
| Full Name | Charity Angela Lane |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 104 West State St, Caraway, 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 |
|---|---|---|---|
| 1225679558 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amberwood Health And Rehabilitation | Benton, AR | Nursing home |
| Ridgecrest Health And Rehabilitation | Jonesboro, AR | Nursing home |
| The Crossing At Riverside Health And Rehabilitatio | Searcy, AR | Nursing home |
| Timberlane Health & Rehabilitation | El dorado, AR | Nursing home |
| Alcoa Pines Health And Rehabilitation | Benton, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Access Medical Clinic Arkansas Llc | 5890077093 | 122 |
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Access Medical Clinic Arkansas Llc | 5890077093 | 122 |
| Entity Name | Bradley Bibb Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488 |
| Entity Name | Access Medical Clinic Arkansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288 |
| Entity Name | Access Medical Clinic Arkansas Ltc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114578929 PECOS PAC ID: 0547618175 Enrollment ID: O20231208000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Charity Angela Lane, APRN 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: (870) 856-1202 | Charity Angela Lane, APRN 104 West State St, Caraway, AR 72419-8553 Ph: (870) 956-0200 |
Riley Carlton Wade Grogan, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 104 W State St, Caraway, AR 72419 Phone: 870-956-0200 | |
April Ann Nutt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 W State St, Caraway, AR 72419 Phone: 870-565-9205 Fax: 870-895-2164 |