| Wanda Faye Mooney, APRN | |
|
201 S Bay Dr, Bay, AR 72411-9482 | |
| (870) 770-1920 | |
| (870) 994-7488 |
| Full Name | Wanda Faye Mooney |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 201 S Bay Dr, Bay, 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 |
|---|---|---|---|
| 1316557705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 125714 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Arkansas Methodist Medical Center | Paragould, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Physician Clinics Inc | 7012311269 | 182 |
| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
| Entity Name | Obgyn Associates Of Jonesboro, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700106010 PECOS PAC ID: 7012041783 Enrollment ID: O20100817000511 |
| Entity Name | St Bernards Physician Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
| Entity Name | Amc Fqhc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720733124 PECOS PAC ID: 5496142978 Enrollment ID: O20220502001586 |
| Mailing Address | Practice Location Address |
|---|---|
| Wanda Faye Mooney, APRN 4320 Trailwater Dr, Jonesboro, AR 72404-9194 Ph: () - | Wanda Faye Mooney, APRN 201 S Bay Dr, Bay, AR 72411-9482 Ph: (870) 770-1920 |
Randi L Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 S Bay Dr, Bay, AR 72411 Phone: 870-770-1920 Fax: 870-994-7488 |