Kendra Dewberry, FNP is a medicare enrolled "Nurse Practitioner - Family" in Texarkana, Alabama. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
503 Walnut St, Texarkana, Alabama. You can reach out to her office (for appointments etc.) via phone at
(870) 773-2108.
Kendra Dewberry is licensed to practice in Arkansas (license number A004369) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467849794.
Provider's Profile
| Full Name | Kendra Dewberry |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 503 Walnut St, Texarkana, Alabama |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kendra Dewberry graduated from nursing school in 2015
NPI Data:
- NPI Number: 1467849794
- Provider Enumeration Date: 04/24/2015
- Last Update Date: 05/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 0648589630
- Enrollment ID: I20151013002191
Medical Identifiers
Medical identifiers for Kendra Dewberry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467849794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A004369 (Arkansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AP127959 (Texas) | Secondary |
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. Kendra Dewberry allows following entities to bill medicare on her behalf.
| Entity Name | Arkansas Department Of Health Payroll Office |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1619195906
PECOS PAC ID: 5799696779
Enrollment ID: O20090801000049 |
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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. Kendra Dewberry 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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Kendra Dewberry, FNP
503 Walnut St,
Texarkana, AR 71854-5286
Ph: (870) 773-2108 | Kendra Dewberry, FNP
503 Walnut St,
Texarkana, AL 71854
Ph: (870) 773-2108 |
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