| Dr Leigh Ann Ellis, DNP | |
|
106 Highway 62 W, Salem, AR 72576-8059 | |
| (870) 895-2015 | |
| (870) 895-2164 |
| Full Name | Dr Leigh Ann Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 106 Highway 62 W, Salem, 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 |
|---|---|---|---|
| 1649700063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | R005177 (Arkansas) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | A005177 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Westwood Health And Rehab, Inc | Springdale, 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 |
| Entity Name | Texarkana Behavioral Associates Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467483677 PECOS PAC ID: 9436062379 Enrollment ID: O20040223000353 |
| 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 |
|---|---|
| Dr Leigh Ann Ellis, DNP 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Dr Leigh Ann Ellis, DNP 106 Highway 62 W, Salem, AR 72576-8059 Ph: (870) 895-2015 |
Mirenda Martin, APRN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 Phone: 870-895-2541 |