| Marsha Requita Miller, APRN | |
|
701 N West Ave, El Dorado, AR 71730-4654 | |
| (870) 862-2331 | |
| (870) 862-2322 |
| Full Name | Marsha Requita Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 701 N West Ave, El Dorado, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801163563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | A03608 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A003608 (Arkansas) | Primary |
| 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 |
| Entity Name | Freshly Renewed Transitional |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881251510 PECOS PAC ID: 9436544574 Enrollment ID: O20220328000970 |
| Mailing Address | Practice Location Address |
|---|---|
| Marsha Requita Miller, APRN 701 N West Ave, El Dorado, AR 71730-4654 Ph: (870) 862-2331 | Marsha Requita Miller, APRN 701 N West Ave, El Dorado, AR 71730-4654 Ph: (870) 862-2331 |
Tara S Herring, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 W Grove St Ste 202, El Dorado, AR 71730 Phone: 870-639-9939 Fax: 870-639-9914 | |
Rebecca Jan Porter, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 | |
Chelsea Jo Bounds, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W Faulkner St, El Dorado, AR 71730 Phone: 870-639-3910 | |
Jessica H Mack, DNP, APRN, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 W Grove St, El Dorado, AR 71730 Phone: 870-875-1481 | |
Lizbeth Laura Herrera, MNSC, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1906 W Hillsboro St, El Dorado, AR 71730 Phone: 870-639-9322 Fax: 501-235-3743 | |
Anita Burleson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 N College Ave, El Dorado, AR 71730 Phone: 870-881-8008 | |
Marcia P Ford, APN CDE Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 Fax: 870-862-1891 |