| Garrett Kyle, FNP | |
|
409 S Rogers St, Clarksville, AR 72830-3743 | |
| (479) 491-4141 | |
| (479) 491-4143 |
| Full Name | Garrett Kyle |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 409 S Rogers St, Clarksville, Arkansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083433403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 231006 (Arkansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2024038773 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Johnson Regional Medical Center | Clarksville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Medical Clinic Arkansas Llc | 5890077093 | 122 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Garrett Kyle, FNP 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Garrett Kyle, FNP 409 S Rogers St, Clarksville, AR 72830-3743 Ph: (479) 491-4141 |
Ashley N Gattis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 W Main St, Clarksville, AR 72830 Phone: 479-668-3282 Fax: 479-668-3284 | |
Susan Gateley, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W Mckennon St, Clarksville, AR 72830 Phone: 479-754-8384 Fax: 479-754-7141 | |
Catherine Stephanie Miranda, CNP, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 N Mcconnell St, Clarksville, AR 72830 Phone: 479-440-8197 Fax: 479-440-8198 | |
Marcella Anne Handley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2428 Wire Rd, Clarksville, AR 72830 Phone: 479-754-4808 | |
Arely Monserrath Villanueva Parga, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 E Poplar St, Clarksville, AR 72830 Phone: 479-259-8980 | |
Maranda Hickey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 E Poplar St Ste A, Clarksville, AR 72830 Phone: 479-754-5337 |