| Nickolas Allen Rhoades, | |
|
4318 Us-65, Harrison, AR 72601 | |
| (870) 233-9960 | |
| (870) 647-5223 |
| Full Name | Nickolas Allen Rhoades |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 4318 Us-65, Harrison, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821637927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 233889 (Arkansas) | Primary |
| Entity Name | Millennium Pain Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225196488 PECOS PAC ID: 4486543691 Enrollment ID: O20040401001105 |
| Entity Name | Applied Pain Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528233111 PECOS PAC ID: 5597835637 Enrollment ID: O20080602000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickolas Allen Rhoades, 230 Spring Creek Rd, Branson, MO 65616-8628 Ph: (309) 242-8747 | Nickolas Allen Rhoades, 4318 Us-65, Harrison, AR 72601 Ph: (870) 233-9960 |
Rollie S Walker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 N Spring Street, Harrison, AR 72601 Phone: 870-741-6373 Fax: 870-741-5102 | |
Skipper Dawn Mccormick, APRN-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 624 W Central Ave, Harrison, AR 72601 Phone: 870-754-0144 | |
Amanda Cope, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 724 N Spring St Ste C, Harrison, AR 72601 Phone: 870-743-2448 Fax: 870-741-2449 | |
Andria Moran Merritt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 N Spring St, Harrison, AR 72601 Phone: 870-741-8286 | |
Mrs. Payton Willis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 Us-65, Harrison, AR 72601 Phone: 870-204-7263 | |
Kellie Manes, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4318 Us Hwy 62-65, Harrison, AR 72601 Phone: 870-414-4040 Fax: 870-741-7618 | |
Donielle Kay Swanson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Hwy 65 North, Suite 110, Harrison, AR 72601 Phone: 704-144-0228 Fax: 870-414-4023 |