| Heather N Funderburk, APRN | |
|
320 Luzerne St, Mount Ida, AR 71957-9437 | |
| (870) 867-2175 | |
| (870) 867-4050 |
| Full Name | Heather N Funderburk |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 320 Luzerne St, Mount Ida, 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 |
|---|---|---|---|
| 1033577234 | NPI | - | NPPES |
| 212117758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004630 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Hot Springs | Hot springs, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chi St Vincent Medical Group Hot Springs | 3971673716 | 174 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831387117 PECOS PAC ID: 3971673716 Enrollment ID: O20080604000802 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154651982 PECOS PAC ID: 3971673716 Enrollment ID: O20100918000105 |
| Entity Name | Chi St Vincent Medical Group Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164752994 PECOS PAC ID: 3971673716 Enrollment ID: O20100920000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather N Funderburk, APRN Po Box 21850, Hot Springs, AR 71903-1850 Ph: (870) 867-2175 | Heather N Funderburk, APRN 320 Luzerne St, Mount Ida, AR 71957-9437 Ph: (870) 867-2175 |
Stacie L Hipp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 | |
Samantha Jo Stovall, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 888-710-8220 Fax: 866-573-0761 | |
Lori D Fortner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 Fax: 479-234-4445 | |
Amy Stvartak, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-4244 |