Rickey Edna Mack, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Glenwood, Arkansas. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Access Medical Clinic Arkansas Ltc Llc, Urgent Team Of Arkansas Physicians Llc and her current practice location is
516 Highway 8 E, Glenwood, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 828-1151.
Rickey Edna Mack is licensed to practice in Arkansas (license number A005560) 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 1528560513.
Provider's Profile
| Full Name | Rickey Edna Mack |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 516 Highway 8 E, Glenwood, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rickey Edna Mack graduated from nursing school in 2017
NPI Data:
- NPI Number: 1528560513
- Provider Enumeration Date: 03/06/2018
- Last Update Date: 06/05/2026
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.
| Identifier | Type | State | Issuer |
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| 1528560513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | A005560 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Access Medical Clinic Arkansas Ltc Llc | 0547618175 | 140 |
| Urgent Team Of Arkansas Physicians Llc | 1850539198 | 156 |
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 Name | Urgent Team Of Arkansas Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992041370
PECOS PAC ID: 1850539198
Enrollment ID: O20130529000209 |
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| Entity Name | Access Medical Clinic Arkansas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578007647
PECOS PAC ID: 5890077093
Enrollment ID: O20170124001288 |
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| Entity Name | Access Medical Clinic Arkansas Ltc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114578929
PECOS PAC ID: 0547618175
Enrollment ID: O20231208000065 |
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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 Address | Practice Location Address |
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Rickey Edna Mack, CNP
516 Highway 8 E,
Glenwood, AR 71943-9222
Ph: () - | Rickey Edna Mack, CNP
516 Highway 8 E,
Glenwood, AR 71943-9222
Ph: (870) 828-1151 |
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