Mrs Shellia Anne Kornegay, APN in Pine Bluff, AR

Mrs Shellia Anne Kornegay, APN is a medicare enrolled "Nurse Practitioner - Family" in Pine Bluff, Arkansas. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Arkansas Emergency Physicians Llp and her current practice location is 1515 West 42nd Street, Pine Bluff, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 541-7111.

Mrs Shellia Anne Kornegay is licensed to practice in Arkansas (license number AO3247) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124258553.

Contact Information

	Mrs Shellia Anne Kornegay, APN
	1515 West 42nd Street, Pine Bluff, AR 71602
	(870) 541-7111
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shellia Anne Kornegay
Gender	Female
Speciality	Nurse Practitioner
Experience	16 Years
Location	1515 West 42nd Street, Pine Bluff, 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.

Medical Education and Training:

Mrs Shellia Anne Kornegay graduated from nursing school in 2008

NPI Data:

NPI Number: 1124258553
Provider Enumeration Date: 07/20/2009
Last Update Date: 11/15/2013

Medicare PECOS Information:

PECOS PAC ID: 1456492909
Enrollment ID: I20100106000761

Medical Identifiers

Medical identifiers for Mrs Shellia Anne Kornegay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124258553	NPI	-	NPPES
180128758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AO3247 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeast Arkansas Emergency Physicians Llp	6204146319	17

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 Shellia Anne Kornegay allows following entities to bill medicare on her behalf.

Entity Name	Elite Emergency Russellville Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740661354 PECOS PAC ID: 8426364993 Enrollment ID: O20150925001745

Entity Name	Southeast Arkansas Emergency Physicians Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922475078 PECOS PAC ID: 6204146319 Enrollment ID: O20151102001647

Entity Name	Arkansas Emergency Physician Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720529498 PECOS PAC ID: 7911284500 Enrollment ID: O20170509001162

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 Shellia Anne Kornegay 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 Shellia Anne Kornegay, APN 1515 W 42nd Ave, Pine Bluff, AR 71603-7004 Ph: (870) 541-7111	Mrs Shellia Anne Kornegay, APN 1515 West 42nd Street, Pine Bluff, AR 71602 Ph: (870) 541-7111

Reviews and Comments

Nurse Practitioner Nurses in Pine Bluff, AR

Mrs. Diana Gray Millenbaugh, MSN, RNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603 Phone: 870-534-4847 Fax: 870-534-4884
Mrs. Lillian Jynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Blake St, Pine Bluff, AR 71601 Phone: 870-536-6600
Dr. Michelle Leigh Bagby, DNP, FNP-C, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 S Tennessee St, Pine Bluff, AR 71601 Phone: 705-432-3808 Fax: 870-543-2368
Collene Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603 Phone: 870-541-7211
Ms. Ernice Lashette Rogers, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603 Phone: 870-535-2142
Cornelia Rhodes, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603 Phone: 870-267-4912
Shanda Vinson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 W 42nd Ave, Pine Bluff, AR 71603 Phone: 870-541-6400

Mrs Shellia Anne Kornegay, APN - Medicare Nurse Practitioner in Pine Bluff, AR