| Mrs Heather Deann Spoon, APN | |
|
615 N Main St, Brinkley, AR 72021-2507 | |
| (870) 734-1150 | |
| (870) 734-1179 |
| Full Name | Mrs Heather Deann Spoon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 20 Years |
| Location | 615 N Main St, Brinkley, Arkansas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790802809 | NPI | - | NPPES |
| 201482729 | Medicaid | AR | |
| 201479729 | Medicaid | AR | |
| 201481729 | Medicaid | AR | |
| 129735729 | Medicaid | AR | |
| 129734729 | Medicaid | AR | |
| 136428729 | Medicaid | AR | |
| 201477729 | Medicaid | AR | |
| 100907002 | Medicaid | AR | |
| 201478729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A002985 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 116 |
| Grand Prairie Medical Group Pllc | 4587886189 | 3 |
| Entity Name | Grand Prairie Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285047688 PECOS PAC ID: 4587886189 Enrollment ID: O20141115000052 |
| Entity Name | Access Medical Clinic Arkansas Ltc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114578929 PECOS PAC ID: 0547618175 Enrollment ID: O20231208000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heather Deann Spoon, APN Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534 | Mrs Heather Deann Spoon, APN 615 N Main St, Brinkley, AR 72021-2507 Ph: (870) 734-1150 |
Jessica K Armstrong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1153 Fax: 870-734-1179 | |
Mrs. Courtney B Manatt, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 Fax: 870-347-3492 | |
Jaye Rachelle Thompson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 Fax: 870-734-1179 | |
Angela Deree Hill, APRN-CNP, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 | |
Felica Shunta Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Main St, Brinkley, AR 72021 Phone: 870-734-1150 Fax: 870-734-1179 |