Mrs Mallory Cranor, APRN in Russellville, AR - Medicare Nurse Practitioner

Mrs Mallory Cranor, APRN is a medicare enrolled "Nurse Practitioner - Family" in Russellville, Arkansas. Her current practice location is 220 N Sidney Ave, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 498-0858.

Mrs Mallory Cranor is licensed to practice in Arkansas (license number A004427) 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 1427432749.

Contact Information

	Mrs Mallory Cranor, APRN
	220 N Sidney Ave, Russellville, AR 72801-4389
	(479) 498-0858
	(479) 498-0809

Map and Direction

Provider's Profile

Full Name	Mrs Mallory Cranor
Gender	Female
Speciality	Nurse Practitioner - Family
Location	220 N Sidney Ave, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427432749
Provider Enumeration Date: 07/16/2015
Last Update Date: 10/06/2017

Medicare PECOS Information:

PECOS PAC ID: 7214227891
Enrollment ID: I20170302000273

Medical Identifiers

Medical identifiers for Mrs Mallory Cranor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427432749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A004427 (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. Mrs Mallory Cranor allows following entities to bill medicare on her behalf.

Entity Name	Russellville Pediatric & Adolescent Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134637556 PECOS PAC ID: 3870843097 Enrollment ID: O20180910002880

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. Mrs Mallory Cranor 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
Mrs Mallory Cranor, APRN 220 N Sidney Ave, Russellville, AR 72801-4389 Ph: (479) 498-0858	Mrs Mallory Cranor, APRN 220 N Sidney Ave, Russellville, AR 72801-4389 Ph: (479) 498-0858

Reviews and Comments

Nurse Practitioner Nurses in Russellville, AR

Karen Michelle Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2210 W Main St, Russellville, AR 72801 Phone: 479-968-8940 Fax: 479-968-8901
Ashley Mccoy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 S Portland Ave, Russellville, AR 72801 Phone: 501-906-0000
Wendy Michelle Pyburn, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-7125
Mrs. Ashley Nichole Bennett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1808 W Main St, Russellville, AR 72801 Phone: 479-968-2841
Kristy Hogan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 W O St, Dean Hall, Room 126, Russellville, AR 72801 Phone: 479-368-0329
Ms. Candace Darlene Welcher, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Skyline Dr, Russellville, AR 72801 Phone: 479-968-2345 Fax: 479-890-2467
Margaret Danielle Mullins-moats, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3812 W Main St., Russellville, AR 72801 Phone: 479-968-1245

Mrs Mallory Cranor, APRN - Medicare Nurse Practitioner in Russellville, AR