| Mckenzie Lively, | |
|
17 Medical Plz, Mountain Home, AR 72653-2918 | |
| (870) 508-5900 | |
| Not Available |
| Full Name | Mckenzie Lively |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 17 Medical Plz, Mountain Home, 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 |
|---|---|---|---|
| 1356120471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 122844 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elite Home Health | Salem, AR | Home health agency |
| Baxter Health | Mountain home, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pain Treatment Centers Of America Pllc | 2769608819 | 73 |
| Interventional Pain Management Associates Pllc | 3779718614 | 8 |
| 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 |
| Entity Name | Pain Treatment Centers of America PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841619731 PECOS PAC ID: 2769608819 Enrollment ID: O20140725000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenzie Lively, 190 Sawyer Holw, Pineville, AR 72566-8878 Ph: Not Available | Mckenzie Lively, 17 Medical Plz, Mountain Home, AR 72653-2918 Ph: (870) 508-5900 |
Adrienne Renee Mccutcheon, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1607 Highway 62 E, Mountain Home, AR 72653 Phone: 870-706-2353 |
Brittany Michelle Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Medical Plz Ste 2, Mountain Home, AR 72653 Phone: 870-232-5315 |
Jodi Nicole Bodenhamer, APRN Nurse Practitioner Medicare: May Accept 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: 1405 Highway 62 W, Mountain Home, AR 72653 Phone: 870-706-3421 Fax: 870-706-3450 |
Jennifer Carpenter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 639 Hospital Dr, Mountain Home, AR 72653 Phone: 479-587-1700 Fax: 479-587-1366 |