| Glenda Marie King, APRN | |
|
128 Daniel Avenue, Booneville, AR 72927-6502 | |
| (479) 675-2455 | |
| Not Available |
| Full Name | Glenda Marie King |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 128 Daniel Avenue, Booneville, 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 |
|---|---|---|---|
| 1740664226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | A004464 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A004464 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Fort Smith | Fort smith, AR | Hospital |
| North Logan Mercy Hospital | Paris, AR | Hospital |
| Mercy Hospital Booneville | Booneville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| River Valley Primary Care Services | 0042274276 | 36 |
| Entity Name | River Valley Primary Care Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952349003 PECOS PAC ID: 0042274276 Enrollment ID: O20050503001398 |
| Entity Name | Mercy Clinic Fort Smith Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902073620 PECOS PAC ID: 3870668510 Enrollment ID: O20080814000789 |
| Entity Name | Mercy Hospital Paris |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518915321 PECOS PAC ID: 0244135705 Enrollment ID: O20090402000673 |
| Entity Name | Mercy Hospital Booneville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083004733 PECOS PAC ID: 1951530385 Enrollment ID: O20170203001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenda Marie King, APRN 128 Daniel Avenue, Booneville, AR 72927-6502 Ph: (479) 675-2455 | Glenda Marie King, APRN 128 Daniel Avenue, Booneville, AR 72927-6502 Ph: (479) 675-2455 |
Travis Walling, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 479-675-4102 | |
Casandra Ann Thurman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Mr. Steven Lee Mcdonald, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 880 W Main St, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Drake Schichtl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 Daniel Dr, Booneville, AR 72927 Phone: 479-675-2455 Fax: 479-675-4940 | |
Alana Jean Noel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1069 S Sharpe Ave, Booneville, AR 72927 Phone: 479-675-0516 Fax: 949-553-3868 | |
Anthony Vincent Ciaramitaro, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 871 W Main St, Booneville, AR 72927 Phone: 479-675-4100 Fax: 870-895-2164 | |
Moriah Christine Hayes, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6724 Possum Hollow Rd, Booneville, AR 72927 Phone: 479-849-5000 |