Ms Kelley L Easley Dotson, APN PNP-BC in Mena, AR

Ms Kelley L Easley Dotson, APN PNP-BC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Mena, Arkansas. Her current practice location is 1102 Crestwood Cir, Mena, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 394-7301.

Ms Kelley L Easley Dotson is licensed to practice in Arkansas (license number A001612) 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 1902064272.

Contact Information

	Ms Kelley L Easley Dotson, APN PNP-BC
	1102 Crestwood Cir, Mena, AR 71953-5513
	(479) 394-7301
	(479) 394-0371

Map and Direction

Provider's Profile

Full Name	Ms Kelley L Easley Dotson
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1102 Crestwood Cir, Mena, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902064272
Provider Enumeration Date: 05/23/2008
Last Update Date: 06/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3173832326
Enrollment ID: I20151029000410

Medical Identifiers

Medical identifiers for Ms Kelley L Easley Dotson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902064272	NPI	-	NPPES
178404758	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	A001612 (Arkansas)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	A001612 (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. Ms Kelley L Easley Dotson allows following entities to bill medicare on her behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588654016 PECOS PAC ID: 4082528955 Enrollment ID: O20031219000706

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. Ms Kelley L Easley Dotson 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
Ms Kelley L Easley Dotson, APN PNP-BC Po Box 251418, Little Rock, AR 72225-1418 Ph: (501) 364-1100	Ms Kelley L Easley Dotson, APN PNP-BC 1102 Crestwood Cir, Mena, AR 71953-5513 Ph: (479) 394-7301

Reviews and Comments

Nurse Practitioner Nurses in Mena, AR

Terri L Barrada, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 136 Health Park Dr, Mena, AR 71953 Phone: 888-710-8220 Fax: 866-573-0761
Gretchen Laurel Goodnight, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste D, Mena, AR 71953 Phone: 479-437-6080 Fax: 479-437-6079
Lindy Kaye Jumper, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1706 Highway 71 N, Mena, AR 71953 Phone: 479-394-1500 Fax: 479-394-1525
Kimberly Diane Nance, APRN, BC, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1706 Highway 71 N, Mena, AR 71953 Phone: 479-394-4800 Fax: 479-394-4805
Ocean Miranda Brewer, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1210 Dequeen St, Mena, AR 71953 Phone: 479-394-5068 Fax: 479-394-5626
Sandy Morgan, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1706 Highway 71 N, Mena, AR 71953 Phone: 479-394-1500 Fax: 479-394-1525
Hailee Elizabeth Rutherford, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1706 Highway 71 N, Mena, AR 71953 Phone: 479-394-1500 Fax: 479-394-1525

Ms Kelley L Easley Dotson, APN PNP-BC - Medicare Nurse Practitioner in Mena, AR