| Jody A Barham, APN | |
|
871 W Main St, Booneville, AR 72927-3420 | |
| (479) 675-4100 | |
| Not Available |
| Full Name | Jody A Barham |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 871 W Main St, Booneville, 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 |
|---|---|---|---|
| 1992081491 | NPI | - | NPPES |
| A003610 | Other | AR | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | A03610 (Arkansas) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP135878 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain Meadows Health And Rehabilitation | Batesville, AR | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Midsouth Transitions Arkansas Pa | 1153731005 | 16 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Access Medical Clinic Arkansas Llc | 5890077093 | 122 |
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Supportive Care Of Texas Pc | 1658744503 | 11 |
| Bradley Bibb Md Pllc | 4789715285 | 57 |
| Midsouth Transitions Medical Group | 8628322831 | 17 |
| East Texas Border Health Clinic | 8820038565 | 48 |
| Entity Name | Bradley Bibb Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699097436 PECOS PAC ID: 4789715285 Enrollment ID: O20100628000488 |
| Entity Name | Riverview Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417199225 PECOS PAC ID: 5193874600 Enrollment ID: O20101130000844 |
| 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 |
| Entity Name | East Texas Border Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093186249 PECOS PAC ID: 8820038565 Enrollment ID: O20170629001989 |
| Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20180122001018 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210811001714 |
| Entity Name | Experience Counseling Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659035616 PECOS PAC ID: 6204294465 Enrollment ID: O20230620002320 |
| Entity Name | Access Medical Clinic Arkansas Ltc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114578929 PECOS PAC ID: 0547618175 Enrollment ID: O20231208000065 |
| Entity Name | Cs Pacs 3 Southwest, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275398430 PECOS PAC ID: 1254879620 Enrollment ID: O20240828004216 |
| Mailing Address | Practice Location Address |
|---|---|
| Jody A Barham, APN 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Jody A Barham, APN 871 W Main St, Booneville, AR 72927-3420 Ph: (479) 675-4100 |
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 |