Mr Paul Craig Kibby, APRN in Southside, AR - Medicare Nurse Practitioner

Mr Paul Craig Kibby, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Southside, Arkansas. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Creoks Mental Health Services and his current practice location is 1997 Batesville Blvd, Southside, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 376-1216.

Mr Paul Craig Kibby is licensed to practice in Arkansas (license number R101034) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083319750.

Contact Information

	Mr Paul Craig Kibby, APRN
	1997 Batesville Blvd, Southside, AR 72501-7896
	(870) 376-1216
	(870) 376-1225

Map and Direction

Provider's Profile

Full Name	Mr Paul Craig Kibby
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1997 Batesville Blvd, Southside, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Paul Craig Kibby graduated from nursing school in 2022

NPI Data:

NPI Number: 1083319750
Provider Enumeration Date: 04/03/2023
Last Update Date: 03/10/2026

Medicare PECOS Information:

PECOS PAC ID: 0143680553
Enrollment ID: I20230718000106

Medical Identifiers

Medical identifiers for Mr Paul Craig Kibby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083319750	NPI	-	NPPES
304081758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	223792 (Arkansas)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R101034 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Creoks Mental Health Services	0749591469	37

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. Mr Paul Craig Kibby allows following entities to bill medicare on his behalf.

Entity Name	Witold Czerwinski, Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285867457 PECOS PAC ID: 2860548930 Enrollment ID: O20090915000796

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. Mr Paul Craig Kibby 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
Mr Paul Craig Kibby, APRN 1997 Batesville Blvd, Southside, AR 72501-7896 Ph: (870) 376-1216	Mr Paul Craig Kibby, APRN 1997 Batesville Blvd, Southside, AR 72501-7896 Ph: (870) 376-1216

Reviews and Comments

Nurse Practitioner Nurses in Southside, AR

Kelsey Nicole Cantrell, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2450 Batesville Blvd, Southside, AR 72501 Phone: 870-569-4934 Fax: 870-569-4948
Stephanie Ann Moser, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Red Bud Dr, Southside, AR 72501 Phone: 879-262-9302
James R Bridgeman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1217 Batesville Blvd, Southside, AR 72501 Phone: 870-262-2800 Fax: 870-262-2815
David Tanner Oliver, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1217 Batesville Blvd, Southside, AR 72501 Phone: 870-262-2800 Fax: 870-262-2815
Mrs. Micah Joyce Moody, APRN/ NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1217 Batesville Blvd, Southside, AR 72501 Phone: 870-262-2800 Fax: 870-262-2815
Melinda Ford, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1217 Batesville Blvd, Southside, AR 72501 Phone: 870-262-2800

Mr Paul Craig Kibby, APRN - Medicare Nurse Practitioner in Southside, AR