Mckenzie Lively, in Mountain Home, AR - Medicare Nurse Practitioner

Mckenzie Lively, is a medicare enrolled "Nurse Practitioner" in Mountain Home, Arkansas. Her current practice location is 17 Medical Plz, Mountain Home, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 508-5900.

Mckenzie Lively is licensed to practice in Arkansas (license number 122844) 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 1356120471.

Contact Information

	Mckenzie Lively,
	17 Medical Plz, Mountain Home, AR 72653-2918
	(870) 508-5900
	Not Available

Map and Direction

Provider's Profile

Full Name	Mckenzie Lively
Gender	Female
Speciality	Nurse Practitioner
Location	17 Medical Plz, Mountain Home, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356120471
Provider Enumeration Date: 09/27/2023
Last Update Date: 09/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1951750793
Enrollment ID: I20231206000253

Medical Identifiers

Medical identifiers for Mckenzie Lively such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356120471	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	122844 (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. Mckenzie Lively allows following entities to bill medicare on her behalf.

Entity Name	Interventional Pain Management Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902231178 PECOS PAC ID: 3779718614 Enrollment ID: O20131030000550

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. Mckenzie Lively 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
Mckenzie Lively, 190 Sawyer Holw, Pineville, AR 72566-8878 Ph: () -	Mckenzie Lively, 17 Medical Plz, Mountain Home, AR 72653-2918 Ph: (870) 508-5900

Reviews and Comments

Nurse Practitioner Nurses in Mountain Home, AR

Adrienne Renee Mccutcheon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 Highway 62 E, Mountain Home, AR 72653 Phone: 870-706-2353
Jodi Nicole Bodenhamer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 622 Broadmoor Dr, Mountain Home, AR 72653 Phone: 870-508-1765 Fax: 870-508-1679
James Edward Cureington, R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 W 6th St, Mountain Home, AR 72653 Phone: 870-425-8288 Fax: 870-425-8299
Ms. Corinne Hiser, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Burnett Dr, Mountain Home, AR 72653 Phone: 870-425-6971 Fax: 870-508-8900
Caleb Michael Lunday, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 Highway 62 E, Mountain Home, AR 72653 Phone: 870-970-7140 Fax: 870-701-3181
Jennifer Carpenter, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 639 Hospital Dr, Mountain Home, AR 72653 Phone: 479-587-1700 Fax: 479-587-1366
Audrey Sadler, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 N College St, Mountain Home, AR 72653 Phone: 870-424-4804 Fax: 501-500-6418

Mckenzie Lively, - Medicare Nurse Practitioner in Mountain Home, AR