| Mandy Koekemoer, | |
|
4713 Winged Foot Ln, Jonesboro, AR 72405-8050 | |
| (870) 243-0418 | |
| Not Available |
| Full Name | Mandy Koekemoer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 4713 Winged Foot Ln, Jonesboro, 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 |
|---|---|---|---|
| 1164086559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R69806 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 222001 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Mental Health And Wellness Llc | 0345574737 | 24 |
| Venvisor Health Of Ar Pa | 8022551647 | 55 |
| Entity Name | Renew Mental Health and Wellness LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447817572 PECOS PAC ID: 0345574737 Enrollment ID: O20190618002223 |
| Entity Name | Venvisor Health of Ar PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992553028 PECOS PAC ID: 8022551647 Enrollment ID: O20240624001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy Koekemoer, 4713 Winged Foot Ln, Jonesboro, AR 72405-8050 Ph: (870) 243-0418 | Mandy Koekemoer, 4713 Winged Foot Ln, Jonesboro, AR 72405-8050 Ph: (870) 243-0418 |
Mrs. Renata Jane Miller, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3586 Fax: 870-802-2037 |
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675 |
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100 |
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100 |
Morgan Mcalexander, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 Red Wolf Blvd, Jonesboro, AR 72405 Phone: 870-972-8181 |
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088 |
Katie J Hutton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726 |