| Katerina Lynn Devore, | |
|
200 N 3rd St, Dardanelle, AR 72834-3802 | |
| (479) 229-6191 | |
| (479) 229-6194 |
| Full Name | Katerina Lynn Devore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 200 N 3rd St, Dardanelle, 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 |
|---|---|---|---|
| 1275040511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005451 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dardanelle Hospital | Dardanelle, AR | Hospital |
| St Marys Regional Medical Center | Russellville, AR | Hospital |
| Conway Regional Health System | Conway, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dardanelle Regional Llc | 0345576500 | 3 |
| Entity Name | Conway Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841200417 PECOS PAC ID: 3173428414 Enrollment ID: O20040605000199 |
| Entity Name | River Valley Medical Center Family Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245437490 PECOS PAC ID: 1759464035 Enrollment ID: O20080208000579 |
| Entity Name | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023109097 PECOS PAC ID: 0345576500 Enrollment ID: O20220523001905 |
| Entity Name | Dardanelle Regional Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730737131 PECOS PAC ID: 0345576500 Enrollment ID: O20230711000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Katerina Lynn Devore, 200 N 3rd St, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 | Katerina Lynn Devore, 200 N 3rd St, Dardanelle, AR 72834-3802 Ph: (479) 229-6191 |
Ashley Dawn Shrives, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1176 State Highway 22 W, Suite B, Dardanelle, AR 72834 Phone: 870-605-0014 Fax: 870-994-7488 | |
Keely Hatfield, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3085 | |
Virginia Mistler, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1714 State Highway 22 W, Dardanelle, AR 72834 Phone: 479-477-3084 Fax: 479-477-3085 | |
Joe Hebert, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N 3rd St, Dardanelle, AR 72834 Phone: 479-229-6191 Fax: 479-229-6194 | |
Maranda J Moore, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10812 Rob Hill Rd, Dardanelle, AR 72834 Phone: 479-453-6216 | |
Mrs. Anastasia Desiree Christensen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 Phone: 479-229-3004 |