Mrs Debra Wade, APRN in Malvern, AR - Medicare Nurse Practitioner

Mrs Debra Wade, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Malvern, Arkansas. Her current practice location is 2223 Grant St, Malvern, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 337-9031.

Mrs Debra Wade is licensed to practice in Arkansas (license number A006144) 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 1073846457.

Contact Information

	Mrs Debra Wade, APRN
	2223 Grant St, Malvern, AR 72104-4700
	(501) 337-9031
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Debra Wade
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2223 Grant St, Malvern, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073846457
Provider Enumeration Date: 09/16/2009
Last Update Date: 01/27/2026

Medicare PECOS Information:

PECOS PAC ID: 5698015907
Enrollment ID: I20190325001048

Medical Identifiers

Medical identifiers for Mrs Debra Wade such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073846457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	A006144 (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. Mrs Debra Wade allows following entities to bill medicare on her behalf.

Entity Name	Northeast Arkansas Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336118207 PECOS PAC ID: 0244130839 Enrollment ID: O20040110000206

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. Mrs Debra Wade 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
Mrs Debra Wade, APRN 2223 Grant St, Malvern, AR 72104-4700 Ph: (501) 337-9031	Mrs Debra Wade, APRN 2223 Grant St, Malvern, AR 72104-4700 Ph: (501) 337-9031

Reviews and Comments

Nurse Practitioner Nurses in Malvern, AR

Kendra Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Walco Ln, Malvern, AR 72104 Phone: 501-467-3400
Mona Renea Simms, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Henry St, Malvern, AR 72104 Phone: 501-332-5245
Bethany Cox, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 829 Halbert St, Malvern, AR 72104 Phone: 501-332-4400
Mrs. Rachel Scrimshire, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Martin Luther King Blvd, Malvern, AR 72104 Phone: 501-732-5400 Fax: 501-325-9650
Brittany Camille Flynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1517 S Main St, Malvern, AR 72104 Phone: 501-332-7525 Fax: 501-467-3071
John Mark Bates, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Schneider Dr Ste 104, Malvern, AR 72104 Phone: 501-337-9994

Mrs Debra Wade, APRN - Medicare Nurse Practitioner in Malvern, AR