| Ellen L Speak, APN | |
|
216 Arkansas St, Earle, AR 72331-2217 | |
| (870) 792-7676 | |
| (870) 394-4817 |
| Full Name | Ellen L Speak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 28 Years |
| Location | 216 Arkansas St, Earle, 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 |
|---|---|---|---|
| 1285819227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A01417 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital-crittenden, Inc | West memphis, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Arkansas Family Health Center, Inc | 1052390390 | 29 |
| East Arkansas Family Health Center, Inc | 1052390390 | 29 |
| Entity Name | East Arkansas Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871599613 PECOS PAC ID: 1052390390 Enrollment ID: O20040719001289 |
| Entity Name | East Arkansas Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922139062 PECOS PAC ID: 1052390390 Enrollment ID: O20080614000123 |
| Entity Name | East Arkansas Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659506095 PECOS PAC ID: 1052390390 Enrollment ID: O20101006000058 |
| Entity Name | East Arkansas Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578889622 PECOS PAC ID: 1052390390 Enrollment ID: O20110503000659 |
| Entity Name | East Arkansas Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912370198 PECOS PAC ID: 1052390390 Enrollment ID: O20160114002062 |
| Entity Name | East Arkansas Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427572213 PECOS PAC ID: 1052390390 Enrollment ID: O20170921000623 |
| Entity Name | East Arkansas Family Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508379249 PECOS PAC ID: 1052390390 Enrollment ID: O20171208002213 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen L Speak, APN 900 N 7th St, West Memphis, AR 72301-2001 Ph: (870) 735-3842 | Ellen L Speak, APN 216 Arkansas St, Earle, AR 72331-2217 Ph: (870) 792-7676 |
Ashley Vance Harvey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 2nd St, Earle, AR 72331 Phone: 870-792-8825 | |
Lakisha A Mcdaniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 216 Arkansas St, Earle, AR 72331 Phone: 870-792-7676 Fax: 870-792-7676 |