| Tessa Sparks, | |
|
Hc 31, Box 310, Deer, AR 72628 | |
| (870) 428-5391 | |
| (870) 428-5392 |
| Full Name | Tessa Sparks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | Hc 31, Deer, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275071516 | NPI | - | NPPES |
| 566466 | Other | AR | BCBS |
| 5B477 | Other | AR | MEDICARE |
| 150794749 | Medicaid | AR | |
| DA1111 | Other | AR | RAILROAD MEDICARE |
| 222932758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A005003 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Arkansas Regional Medical Center | Harrison, AR | Hospital |
| St Marys Regional Medical Center | Russellville, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Boston Mountain Rural Health Center, Inc | 3870401722 | 55 |
| Entity Name | Boston Mountain Rural Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720096027 PECOS PAC ID: 3870401722 Enrollment ID: O20040701000737 |
| Mailing Address | Practice Location Address |
|---|---|
| Tessa Sparks, Hc 31 Box 310, Deer, AR 72628 Ph: (870) 428-5391 | Tessa Sparks, Hc 31, Box 310, Deer, AR 72628 Ph: (870) 428-5391 |
Bobbi Jean Robbins, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Highway 16, Deer, AR 72628 Phone: 870-428-5391 Fax: 870-428-5392 | |
Sandra Lee Marcy, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Highway 16, Deer, AR 72628 Phone: 780-428-5391 Fax: 870-428-5391 |