Evangeline Lamanilao Forrest, APRN, PMHNP-BC in Sheridan, AR

Evangeline Lamanilao Forrest, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Sheridan, Arkansas. Her current practice location is 506 Little Creek Cut Off Rd, Sheridan, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 942-3000.

Evangeline Lamanilao Forrest is licensed to practice in Arkansas (license number 231743) 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 1245035104.

Contact Information

	Evangeline Lamanilao Forrest, APRN, PMHNP-BC
	506 Little Creek Cut Off Rd, Sheridan, AR 72150-7798
	(870) 942-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Evangeline Lamanilao Forrest
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	506 Little Creek Cut Off Rd, Sheridan, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245035104
Provider Enumeration Date: 02/14/2025
Last Update Date: 02/20/2025

Medicare PECOS Information:

PECOS PAC ID: 9739600750
Enrollment ID: I20250306002770

Medical Identifiers

Medical identifiers for Evangeline Lamanilao Forrest such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245035104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	231743 (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. Evangeline Lamanilao Forrest allows following entities to bill medicare on her behalf.

Entity Name	Supportive Psych Care Of Arkansas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437887437 PECOS PAC ID: 8820474661 Enrollment ID: O20221003001887

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. Evangeline Lamanilao Forrest 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
Evangeline Lamanilao Forrest, APRN, PMHNP-BC 352 Worley St, Huntsville, AR 72740-2003 Ph: (870) 723-4172	Evangeline Lamanilao Forrest, APRN, PMHNP-BC 506 Little Creek Cut Off Rd, Sheridan, AR 72150-7798 Ph: (870) 942-3000

Reviews and Comments

Nurse Practitioner Nurses in Sheridan, AR

Kira Annett Gray, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 506 Little Creek Cut Off Rd, Sheridan, AR 72150 Phone: 870-942-3000 Fax: 870-942-3005
Laura Susan Hensley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 Little Creek Cut Off Rd, Sheridan, AR 72150 Phone: 870-942-3000 Fax: 870-942-3005
Jessica Lunsford, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 651 Heritage Dr, Sheridan, AR 72150 Phone: 870-942-1301 Fax: 870-942-1305
Mr. Garrett Wade Krisell, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 810 S Rock St, Sheridan, AR 72150 Phone: 870-917-2289 Fax: 501-200-5796
Randi Leann Beard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 Little Creek Cut Off Rd, Sheridan, AR 72150 Phone: 870-942-3000
Mollye Jenay Koonce, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 506 Little Creek Cut Off Rd, Sheridan, AR 72150 Phone: 870-942-3000 Fax: 870-942-3005

Evangeline Lamanilao Forrest, APRN, PMHNP-BC - Medicare Nurse Practitioner in Sheridan, AR