Stephanie L Bohannon, PMHNP, APRN in Fayetteville, AR

Stephanie L Bohannon, PMHNP, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fayetteville, Arkansas. She went to University Of South Alabama College Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Reding And Leach Md Pllc and her current practice location is 2566 E Joyce Blvd Ste 2, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 935-1000.

Stephanie L Bohannon is licensed to practice in Arkansas (license number 124030) 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 1104459114.

Contact Information

	Stephanie L Bohannon, PMHNP, APRN
	2566 E Joyce Blvd Ste 2, Fayetteville, AR 72703-3923
	(479) 935-1000
	(479) 935-9200

Map and Direction

Provider's Profile

Full Name	Stephanie L Bohannon
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2566 E Joyce Blvd Ste 2, Fayetteville, Arkansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie L Bohannon attended and graduated from University Of South Alabama College Of Medicine in 2019

NPI Data:

NPI Number: 1104459114
Provider Enumeration Date: 02/18/2020
Last Update Date: 09/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5496168031
Enrollment ID: I20201229000043

Medical Identifiers

Medical identifiers for Stephanie L Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104459114	NPI	-	NPPES
259152758	Medicaid	AR
420098635	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	124030 (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Reding And Leach Md Pllc	7012258627	30

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. Stephanie L Bohannon allows following entities to bill medicare on her behalf.

Entity Name	Reding & Leach Md Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245723584 PECOS PAC ID: 7012258627 Enrollment ID: O20190409001382

Entity Name	Honour Brite Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548760820 PECOS PAC ID: 3971864588 Enrollment ID: O20201221002836

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134879208 PECOS PAC ID: 4082528955 Enrollment ID: O20220621002780

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. Stephanie L Bohannon 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
Stephanie L Bohannon, PMHNP, APRN 2566 E Joyce Blvd Ste 2, Fayetteville, AR 72703-3923 Ph: (479) 935-1000	Stephanie L Bohannon, PMHNP, APRN 2566 E Joyce Blvd Ste 2, Fayetteville, AR 72703-3923 Ph: (479) 935-1000

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, AR

Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930
Mrs. Sue Ellen Schultz, A.P.N., F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 N Garland Ave, Fayetteville, AR 72701 Phone: 479-575-6479 Fax: 479-575-8793

Stephanie L Bohannon, PMHNP, APRN - Medicare Nurse Practitioner in Fayetteville, AR