| Kathryn Pippin, APRN | |
|
579 E Beouff St, Eudora, AR 71640-3090 | |
| (870) 355-2512 | |
| Not Available |
| Full Name | Kathryn Pippin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 579 E Beouff St, Eudora, 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 |
|---|---|---|---|
| 1780497909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 239716 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chicot Memorial Medical Center | Lake village, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mainline Health Systems Inc | 5193785590 | 49 |
| Entity Name | Mainline Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164264834 PECOS PAC ID: 5193785590 Enrollment ID: O20041011000567 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Pippin, APRN 2998 Highway 882, Lake Providence, LA 71254-4333 Ph: (318) 816-1493 | Kathryn Pippin, APRN 579 E Beouff St, Eudora, AR 71640-3090 Ph: (870) 355-2512 |
Cassidy Jo L Gavin Sanders, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 579 E Beouff St, Eudora, AR 71640 Phone: 870-355-2512 Fax: 855-754-0598 | |
Vunkisha Nash, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 579 E Beouff St, Eudora, AR 71640 Phone: 870-355-2512 | |
Toni Stephens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 579 E Beouff St, Eudora, AR 71640 Phone: 870-355-2512 Fax: 855-754-0598 |