Keith Allen Bohannon, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Bentonville, Arkansas. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Holden Psychiatric Institute Pa and his current practice location is
2707 Se G St, Bentonville, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 367-2552.
Keith Allen Bohannon is licensed to practice in Arkansas (license number 232468) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1295527596.
Provider's Profile
| Full Name | Keith Allen Bohannon |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 2707 Se G St, Bentonville, Arkansas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Keith Allen Bohannon graduated from nursing school in 2023
NPI Data:
- NPI Number: 1295527596
- Provider Enumeration Date: 05/21/2025
- Last Update Date: 05/21/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668965757
- Enrollment ID: I20260106002851
Medical Identifiers
Medical identifiers for Keith Allen Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295527596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 232468 (Arkansas) | Primary |
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. Keith Allen Bohannon 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 |
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Keith Allen Bohannon, APRN
2707 Se G St,
Bentonville, AR 72712-3740
Ph: (479) 367-2552 | Keith Allen Bohannon, APRN
2707 Se G St,
Bentonville, AR 72712-3740
Ph: (479) 367-2552 |
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