Rickey Edna Mack, CNP - Medicare Nurse Practitioner in Perryville, AR

  1. Home
  2. Nurse Practitioner
  3. AR
  4. Perryville
Rickey Edna Mack, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Perryville, Arkansas. Her current practice location is 1016 N Fourche Ave, Perryville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 238-1284.

Rickey Edna Mack is licensed to practice in Arkansas (license number A005560) 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 1528560513.

Contact Information

Rickey Edna Mack, CNP
1016 N Fourche Ave,
Perryville, AR 72126-8545
(501) 238-1284
(501) 679-8970

Map and Direction




Provider's Profile

Full NameRickey Edna Mack
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1016 N Fourche Ave, Perryville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528560513
  • Provider Enumeration Date: 03/06/2018
  • Last Update Date: 12/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8527307438
  • Enrollment ID: I20190311001267

Medical Identifiers

Medical identifiers for Rickey Edna Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528560513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health A005560 (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. Rickey Edna Mack allows following entities to bill medicare on her behalf.
Entity NameUrgent Team Of Arkansas Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992041370
PECOS PAC ID: 1850539198
Enrollment ID: O20130529000209
Entity NameAccess Medical Clinic Arkansas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288
Entity NameAccess Medical Clinic Arkansas Ltc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114578929
PECOS PAC ID: 0547618175
Enrollment ID: O20231208000065

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. Rickey Edna Mack 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 AddressPractice Location Address
Rickey Edna Mack, CNP
4196 Highway 62 412 Ste A,
Hardy, AR 72542-8002

Ph: () -		Rickey Edna Mack, CNP
1016 N Fourche Ave,
Perryville, AR 72126-8545

Ph: (501) 238-1284

Reviews and Comments


Nurse Practitioner Nurses in Perryville, AR

Priscilla Beasley, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 N Fourche Ave, Perryville, AR 72126
Phone: 501-238-1284    
Whitley Erin Harris, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 N Fourche Ave, Perryville, AR 72126
Phone: 501-238-1284    Fax: 504-468-0469
Megan Andres, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 North Fourche Avenue, Perryville, AR 72126
Phone: 501-238-1284    
Rainie Jones,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 518 N Fourche Ave, Perryville, AR 72126
Phone: 501-889-5543    Fax: 501-889-5546
Mrs. Teresa Michelle Whitwell, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1016 N Fourche Ave, Perryville, AR 72126
Phone: 501-238-1284    
Brandie Tindell, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1016 N Fourche Ave, Perryville, AR 72126
Phone: 870-856-1202    Fax: 870-895-2164

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.