Shundricka Rochelle Reddick, NURSE PRACTITIONER - Medicare Nurse Practitioner in Gould, AR

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Shundricka Rochelle Reddick, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Gould, Arkansas. She graduated from nursing school in 2016 and has 9 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 407 S Gould Ave, Gould, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 263-4317.

Shundricka Rochelle Reddick is licensed to practice in Arkansas (license number A004877) 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 1407301724.

Contact Information

Shundricka Rochelle Reddick, NURSE PRACTITIONER
407 S Gould Ave,
Gould, AR 71643-5041
(870) 263-4317
(870) 263-4782

Map and Direction




Provider's Profile

Full NameShundricka Rochelle Reddick
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location407 S Gould Ave, Gould, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shundricka Rochelle Reddick graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1407301724
  • Provider Enumeration Date: 08/16/2016
  • Last Update Date: 12/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3072880988
  • Enrollment ID: I20170525000308

Medical Identifiers

Medical identifiers for Shundricka Rochelle Reddick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407301724NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A004877 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jefferson Regional Medical CenterPine bluff, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Arkansas Emergency Physicians Llp620414631917

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. Shundricka Rochelle Reddick allows following entities to bill medicare on her behalf.
Entity NameSoutheast Arkansas Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922475078
PECOS PAC ID: 6204146319
Enrollment ID: O20151102001647
Entity NameMarillac Community Health Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982381752
PECOS PAC ID: 3678755535
Enrollment ID: O20240722002078

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. Shundricka Rochelle Reddick 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
Shundricka Rochelle Reddick, NURSE PRACTITIONER
4201 Skyline Dr,
Pine Bluff, AR 71603-7743

Ph: (870) 692-7336		Shundricka Rochelle Reddick, NURSE PRACTITIONER
407 S Gould Ave,
Gould, AR 71643-5041

Ph: (870) 263-4317

Reviews and Comments


Nurse Practitioner Nurses in Gould, AR

Lerizza D Nunag, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2540 State Highway 388, Gould, AR 71643
Phone: 870-850-8673    
Rose Marie Newby, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2540 State Highway 388, Gould, AR 71643
Phone: 870-850-8884    

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.