Katrina Nicole Gallivan, APRN in Benton, AR - Medicare Nurse Practitioner

Katrina Nicole Gallivan, APRN is a medicare enrolled "Nurse Practitioner - Family" in Benton, Arkansas. Her current practice location is 1501 Military Rd, Benton, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 776-8341.

Katrina Nicole Gallivan is licensed to practice in Arkansas (license number 223712) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972055184.

Contact Information

	Katrina Nicole Gallivan, APRN
	1501 Military Rd, Benton, AR 72015-2914
	(501) 776-8341
	Not Available

Map and Direction

Provider's Profile

Full Name	Katrina Nicole Gallivan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1501 Military Rd, Benton, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972055184
Provider Enumeration Date: 11/04/2016
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 8325321128
Enrollment ID: I20170201001085

Medical Identifiers

Medical identifiers for Katrina Nicole Gallivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972055184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	223712 (Arkansas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katrina Nicole Gallivan allows following entities to bill medicare on her behalf.

Entity Name	Brandi Kammerer Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679879472 PECOS PAC ID: 4183801814 Enrollment ID: O20110607000384

Entity Name	Nextgen Sleep Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245605377 PECOS PAC ID: 8325311376 Enrollment ID: O20170913002373

Entity Name	Mercy Oklahoma Ambulatory Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922509173 PECOS PAC ID: 9830447036 Enrollment ID: O20180803002054

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katrina Nicole Gallivan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katrina Nicole Gallivan, APRN 5315 W 12th St, Little Rock, AR 72204-1858 Ph: (605) 504-3513	Katrina Nicole Gallivan, APRN 1501 Military Rd, Benton, AR 72015-2914 Ph: (501) 776-8341

Reviews and Comments

Nurse Practitioner Nurses in Benton, AR

Rebecca Hendricks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 824 Military Rd, Benton, AR 72015 Phone: 501-574-3019
Natalie Rodriguez, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 630 West South Street, Benton, AR 72015 Phone: 501-860-7150
Haley Nicole Ledbetter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6000
Ms. Jennifer Faughn Neighbors, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6000
Mrs. Linda Joyce Kirby, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6857 Hilo Ave, Benton, AR 72019 Phone: 501-860-9846
Rhonda Teneal Hill, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6701 Highway 67, Benton, AR 72015 Phone: 501-315-3344
Ms. Kathleen Diane Whitney, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6640 Congo Rd, Benton, AR 72019 Phone: 501-794-4110 Fax: 501-316-9360

Katrina Nicole Gallivan, APRN - Medicare Nurse Practitioner in Benton, AR