Katherine C Shook, Inc. - Medicare Mental Health Clinic in Bentonville, AR

Katherine C Shook, Inc. is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Bentonville, Arkansas. The current practice location for Katherine C Shook, Inc. is 307 Sw 18th St Ste 3, Bentonville, Arkansas. For appointments, you can reach them via phone at (479) 721-1788. The mailing address for Katherine C Shook, Inc. is Po Box 414, Garfield, Arkansas and phone number is (479) 721-1788.

Katherine C Shook, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003680687. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (479) 721-1788.

Contact Information

Katherine C Shook, Inc.
307 Sw 18th St Ste 3
Bentonville
AR 72712-8478
(479) 721-1788
Not Available

Mental Health Clinic Profile

Full NameKatherine C Shook, Inc.
SpecialityClinic/Center
Location307 Sw 18th St Ste 3, Bentonville, Arkansas
Authorized Official Name and PositionKatherine C Shook (PRESIDENT)
Authorized Official Contact4797211788
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katherine C Shook, Inc.
Po Box 414
Garfield
AR 72732-0414

Ph: (479) 721-1788
Katherine C Shook, Inc.
307 Sw 18th St Ste 3
Bentonville
AR 72712-8478

Ph: (479) 721-1788

NPI Details:

NPI Number1003680687
Provider Enumeration Date11/14/2023
Last Update Date12/08/2023
Certification Date11/15/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0143677245
Medicare Enrollment IDO20231110002855

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› Verified 3 days ago

Medical Identifiers

Medical identifiers for Katherine C Shook, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003680687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Katherine C Shook, Inc. acts as a billing entity for following providers:
Provider NameKatherine Shook
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003220906
PECOS PAC ID: 0941553010
Enrollment ID: I20190124001478

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