Keyisha Renee Washington, in Forrest City, AR

Keyisha Renee Washington, is a medicare enrolled "Nurse Practitioner - Family" in Forrest City, Arkansas. Her current practice location is 1220 N Washington St, Forrest City, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 594-6001.

Keyisha Renee Washington is licensed to practice in Arkansas (license number 231065) 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 1447012158.

Contact Information

	Keyisha Renee Washington,
	1220 N Washington St, Forrest City, AR 72335-2121
	(870) 594-6001
	(501) 823-3623

Map and Direction

Provider's Profile

Full Name	Keyisha Renee Washington
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1220 N Washington St, Forrest City, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447012158
Provider Enumeration Date: 01/29/2024
Last Update Date: 03/19/2025

Medicare PECOS Information:

PECOS PAC ID: 8123462223
Enrollment ID: I20250212001480

Medical Identifiers

Medical identifiers for Keyisha Renee Washington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447012158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	231065 (Arkansas)	Primary
163W00000X	Registered Nurse	R068013 (Arkansas)	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. Keyisha Renee Washington allows following entities to bill medicare on her behalf.

Entity Name	Access Medical Clinic Arkansas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578007647 PECOS PAC ID: 5890077093 Enrollment ID: O20170124001288

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365

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. Keyisha Renee Washington 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
Keyisha Renee Washington, 1220 N Washington St, Forrest City, AR 72335-2121 Ph: (870) 594-6001	Keyisha Renee Washington, 1220 N Washington St, Forrest City, AR 72335-2121 Ph: (870) 594-6001

Reviews and Comments

Nurse Practitioner Nurses in Forrest City, AR

Mrs. Susan Patton, A.P.N.,DNSC. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 Holiday Dr, Forrest City, AR 72335 Phone: 870-633-0880 Fax: 870-633-3801
Lynzi Elizabeth Wiggins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5082 N Washington St, Forrest City, AR 72335 Phone: 870-261-9149
Jessica Katherine Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 N Washington St, Forrest City, AR 72335 Phone: 870-945-5465
Elizabeth Anne Barnes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6014 Highway 284, Forrest City, AR 72335 Phone: 870-208-3189
Courtney Marie Morgan-dildine, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 904 Holiday Dr, Suite 406, Forrest City, AR 72335 Phone: 870-494-4000 Fax: 870-494-4033
Deanna Michaelis, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 N Washington St, Forrest City, AR 72335 Phone: 870-970-3340 Fax: 870-383-3334
Mrs. Gail Hayes Darby, CNP- FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2530 West Broadway Ave, Forrest City, AR 72335 Phone: 870-581-4318 Fax: 870-270-5135

Keyisha Renee Washington, - Medicare Nurse Practitioner in Forrest City, AR