| Mallori Levengood, | |
|
110 N Drew St, Star City, AR 71667-5704 | |
| (870) 628-5110 | |
| (855) 854-6281 |
| Full Name | Mallori Levengood |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 110 N Drew St, Star City, 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 |
|---|---|---|---|
| 1871185066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 214790 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Arkansas Behavioral Healthcare System Inc | 0042292674 | 16 |
| Brightside Medical Of Michigan Pc | 9830562776 | 90 |
| Entity Name | Southeast Arkansas Behavioral Healthcare System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457398547 PECOS PAC ID: 0042292674 Enrollment ID: O20040607000289 |
| Entity Name | Brightside Medical of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144800350 PECOS PAC ID: 9830562776 Enrollment ID: O20230821000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallori Levengood, 342 Highway 425 S, Monticello, AR 71655-4612 Ph: (870) 942-3000 | Mallori Levengood, 110 N Drew St, Star City, AR 71667-5704 Ph: (870) 628-5110 |
Leah Jacks Williams, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Drew, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 |
April Summer Mcghee, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Drew St, Star City, AR 71667 Phone: 870-628-5110 Fax: 855-854-6281 |
Mrs. Amy Michelle White, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Drew St, Star City, AR 71667 Phone: 870-628-5110 Fax: 855-854-6281 |
Kendal Noble, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Drew St, Star City, AR 71667 Phone: 870-628-5110 |
Holley Shelton, APN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Drew, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-854-6281 |
Ms. Mckenna M Wilkerson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 110 N Drew St, Star City, AR 71667 Phone: 870-625-5110 Fax: 855-854-6281 |
Kacee Reynolds, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 N Drew St, Star City, AR 71667 Phone: 870-628-5110 Fax: 855-854-6281 |