Ladonna Marie Young, NP is a medicare enrolled "Family Medicine" in Conway, Arkansas. Her current practice location is
1120 Hogan Ln Ste B2, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 880-6148.
Ladonna Marie Young is licensed to practice in Arkansas (license number A005566) 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 1770088445.
Provider's Profile
| Full Name | Ladonna Marie Young |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1120 Hogan Ln Ste B2, Conway, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770088445
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 03/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183971336
- Enrollment ID: I20180719002314
Medical Identifiers
Medical identifiers for Ladonna Marie Young such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770088445 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 218902 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A005566 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | A005566 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | A005566 (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. Ladonna Marie Young allows following entities to bill medicare on her behalf.
| Entity Name | Velocity Care Arkansas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831436286
PECOS PAC ID: 9133360738
Enrollment ID: O20130724000529 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190913002365 |
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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. Ladonna Marie Young 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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Ladonna Marie Young, NP
1120 Hogan Ln Ste B2,
Conway, AR 72034-8216
Ph: (479) 880-6148 | Ladonna Marie Young, NP
1120 Hogan Ln Ste B2,
Conway, AR 72034-8216
Ph: (479) 880-6148 |
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