| Kally Marie Elizabeth Sivage, | |
|
10301 Mayo Dr, Barling, AR 72923-1660 | |
| (479) 494-5700 | |
| Not Available |
| Full Name | Kally Marie Elizabeth Sivage |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 10301 Mayo Dr, Barling, Arkansas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740762905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | A005843 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Arkansas Counseling And Guidance Center, Inc | 1355326174 | 54 |
| Entity Name | Western Arkansas Counseling & Guidance Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326040692 PECOS PAC ID: 1355326174 Enrollment ID: O20040623001595 |
| Entity Name | Valley Behavioral Health System Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528325651 PECOS PAC ID: 2365693603 Enrollment ID: O20121127000327 |
| Entity Name | My Psych Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215643028 PECOS PAC ID: 0749655207 Enrollment ID: O20230414000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Kally Marie Elizabeth Sivage, 119 Dartmouth Ln, Fort Smith, AR 72908-8200 Ph: (479) 561-9583 | Kally Marie Elizabeth Sivage, 10301 Mayo Dr, Barling, AR 72923-1660 Ph: (479) 494-5700 |
Tina Marie Gragg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 | |
Brittney Lynn Sims, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1311 Fort St Ste F, Barling, AR 72923 Phone: 816-769-1680 | |
Sondra D Posey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 Fax: 479-484-9991 | |
Ashley Nicole Herren, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 | |
Tammy Rodgers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10301 Mayo Dr, Barling, AR 72923 Phone: 479-494-5700 Fax: 479-494-5777 | |
Chandra Mathis, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Fort St, Barling, AR 72923 Phone: 479-763-1511 Fax: 479-763-1545 | |
Kimberlee Sartain, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 815 Fort St Ste A, Barling, AR 72923 Phone: 479-235-5597 |