| Kerry Renee Hill, | |
|
1580 Tanner St, Rockport, AR 72104-2023 | |
| (501) 337-9994 | |
| (501) 601-1107 |
| Full Name | Kerry Renee Hill |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1580 Tanner St, Rockport, 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 |
|---|---|---|---|
| 1164889002 | NPI | - | NPPES |
| 214947758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A004627 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wound Solutions Of Central Arkansas Llc | 7911365028 | 8 |
| Covenant Health Llc | 9133519531 | 5 |
| Entity Name | Shane Higginbotham Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033129713 PECOS PAC ID: 8022276732 Enrollment ID: O20120228000066 |
| Entity Name | Arkansas Psychiatric Clinic Clinical Research Trials, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548661200 PECOS PAC ID: 0345566238 Enrollment ID: O20150312001445 |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336153295 PECOS PAC ID: 9234041948 Enrollment ID: O20190809000259 |
| Entity Name | Covenant Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326710468 PECOS PAC ID: 9133519531 Enrollment ID: O20211129000964 |
| Entity Name | Wound Solutions Of Central Arkansas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447952346 PECOS PAC ID: 7911365028 Enrollment ID: O20230622000972 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Renee Hill, 1580 Tanner St, Rockport, AR 72104-2023 Ph: (501) 337-9994 | Kerry Renee Hill, 1580 Tanner St, Rockport, AR 72104-2023 Ph: (501) 337-9994 |
Mrs. Tara Beth Mahend, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1424 Tanner St, Rockport, AR 72104 Phone: 501-332-8612 | |
Lyssa Morrison, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1580 Tanner St, Rockport, AR 72104 Phone: 501-337-9994 Fax: 501-601-1107 |