| Kathy Lynette Woods, APN | |
|
1101 S Tennessee St, Pine Bluff, AR 71601-5801 | |
| (870) 543-2300 | |
| Not Available |
| Full Name | Kathy Lynette Woods |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 1101 S Tennessee St, Pine Bluff, 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 |
|---|---|---|---|
| 1205011541 | NPI | - | NPPES |
| 188180758 | Medicaid | AR |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Comprehensive Care System, Inc | 5193634509 | 12 |
| Entity Name | Jefferson Comprehensive Care System, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154386597 PECOS PAC ID: 5193634509 Enrollment ID: O20040603001458 |
| Entity Name | Virtual Wellness Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295307031 PECOS PAC ID: 4587052725 Enrollment ID: O20211021000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Lynette Woods, APN 2725 Serenade Dr, Sherwood, AR 72125-0000 Ph: (501) 590-6248 | Kathy Lynette Woods, APN 1101 S Tennessee St, Pine Bluff, AR 71601-5801 Ph: (870) 543-2300 |
Mrs. Diana Gray Millenbaugh, MSN, RNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603 Phone: 870-534-4847 Fax: 870-534-4884 | |
Mrs. Lillian Jynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Blake St, Pine Bluff, AR 71601 Phone: 870-536-6600 | |
Dr. Michelle Leigh Bagby, DNP, FNP-C, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 S Tennessee St, Pine Bluff, AR 71601 Phone: 705-432-3808 Fax: 870-543-2368 | |
Collene Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603 Phone: 870-541-7211 | |
Ms. Ernice Lashette Rogers, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603 Phone: 870-535-2142 | |
Cornelia Rhodes, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603 Phone: 870-267-4912 | |
Shanda Vinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-541-6400 |